# SOUTHERN OHIO MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOMC PHARMACY WEST UNION
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386059228
- **Authorized official:** RORY PHILLIPS (ADMIN DIRECTOR OF PHARMACY)
- **Authorized official phone:** (740) 356-8193

## Contact information

- **Practice address:** 90 CIC BLVD, WEST UNION, OH 45693-8024
- **Practice address phone:** (937) 544-8989
- **Practice address fax:** (937) 544-5839
- **Mailing address:** 90 CIC BLVD, WEST UNION, OH 45693-8024
- **Mailing address phone:** (937) 544-8989
- **Mailing address fax:** (937) 544-5839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RTP02242430003 | OH | Yes |

## Other

- **Enumeration date:** 06/30/2014
- **Last updated:** 03/08/2017