# OHIO INTAKE PHARMACY 3 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356010904
- **Authorized official:** PAUL JAMES GREENALL (CEO, AO)
- **Authorized official phone:** (855) 910-8606

## Contact information

- **Practice address:** 6 S 2ND ST STE 507, HAMILTON, OH 45011-2866
- **Practice address phone:** (650) 353-5495
- **Mailing address:** 3121 DIABLO AVE, HAYWARD, CA 94545-2701
- **Mailing address phone:** (855) 910-8606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 07/17/2026
