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Organization
PATASKALA PHARMACY, LLC
Active
Organization
PATASKALA PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA GUNDLER RPH (OWNER)
(740) 964-1007
Entity
Organization
Contact information
Practice address
325 W BROAD ST, PATASKALA, OH 43062-8136
(740) 964-1007
(740) 964-9007
Mailing address
325 W BROAD ST, PATASKALA, OH 43062-8136
(740) 964-1007
(740) 964-9007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2639658
—
OH
Enumeration date
10/25/2006
Last updated
08/22/2020
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