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Organization
MARY RUTAN HOSPITAL HEALTH CENTER RETAIL PHARMACY
Active
Organization
MARY RUTAN HOSPITAL HEALTH CENTER RETAIL PHARMACY
Active
Other names
Mary Rutan Hospital Health Center Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MYERS (COO)
(937) 599-7054
Entity
Organization
Contact information
Practice address
1134 N MAIN ST, BELLEFONTAINE, OH 43311-2315
(937) 651-6783
(937) 651-6767
Mailing address
205 E PALMER RD, BELLEFONTAINE, OH 43311-2281
(937) 651-6783
(937) 651-6767
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
022843000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175692
PK
—
Enumeration date
02/07/2018
Last updated
09/05/2025
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