# ADENA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adena Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437488558
- **Authorized official:** DR. MICHAEL L JOHNSON PHARMD. (OUTPATIENT PHARMACY MANAGER)
- **Authorized official phone:** (740) 779-8761

## Contact information

- **Practice address:** 272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
- **Practice address phone:** (740) 779-8761
- **Practice address fax:** (740) 779-8769
- **Mailing address:** 272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
- **Mailing address phone:** (740) 779-8761
- **Mailing address fax:** (740) 779-8769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 022135850 | OH | Yes |

## Other

- **Enumeration date:** 12/19/2009
- **Last updated:** 12/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0066701 | — | OH |
| 01 | — | 3678628 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |