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Organization
HARNESS HEALTH PHARMACY - CENTRAL PHARMACY SERVICES LLC
Active
Organization
HARNESS HEALTH PHARMACY - CENTRAL PHARMACY SERVICES LLC
Active
Other names
HARNESS HEALTH PHARMACY #330
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (VP REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
7160 INDUSTRIAL ROW DR STE 330, MASON, OH 45040-1695
(513) 557-7650
(513) 557-7675
Mailing address
7160 INDUSTRIAL ROW DR STE 330, MASON, OH 45040-1695
(513) 557-7650
(513) 557-7675
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
MOP.020030950-03
OH
3336M0002X
Mail Order Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2077475
PK
—
05
—
2144478
—
OH
Enumeration date
06/27/2008
Last updated
10/15/2024
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