# ADENA PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adena Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326320557
- **Authorized official:** JOHN KNISLEY (ASS. PHARMACY DIRECTOR)
- **Authorized official phone:** (740) 779-8763

## Contact information

- **Practice address:** 4439 STATE ROUTE 159, SUITE G40, CHILLICOTHE, OH 45601-8207
- **Practice address phone:** (740) 779-8763
- **Practice address fax:** (740) 779-8769
- **Mailing address:** 4439 STATE ROUTE 159, SUITE G40, CHILLICOTHE, OH 45601-8207
- **Mailing address phone:** (740) 779-8763
- **Mailing address fax:** (740) 779-8769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 022135850 | OH | Yes |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 09/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3679911 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |