# HARNESS HEALTH PHARMACY - CENTRAL PHARMACY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HARNESS HEALTH PHARMACY \#330
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346402609
- **Authorized official:** KIMBERLY M RALSTON (VP REIMBURSEMENT)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 7160 INDUSTRIAL ROW DR STE 330, MASON, OH 45040-1695
- **Practice address phone:** (513) 557-7650
- **Practice address fax:** (513) 557-7675
- **Mailing address:** 7160 INDUSTRIAL ROW DR STE 330, MASON, OH 45040-1695
- **Mailing address phone:** (513) 557-7650
- **Mailing address fax:** (513) 557-7675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | MOP.020030950-03 | OH | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 10/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2077475 | PK | — |
| 05 | — | 2144478 | — | OH |