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Organization
WINCHESTER PHARMACY, INC.
Active
Organization
WINCHESTER PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL WAYNE LATHAM RPH (PHARMACIST)
(937) 695-0010
Entity
Organization
Contact information
Practice address
19223 SR 136, WINCHESTER, OH 45697-0217
(937) 695-0010
(937) 695-0015
Mailing address
PO BOX 217, WINCHESTER, OH 45697-0217
(937) 695-0010
(937) 695-0015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175920
—
OH
Enumeration date
01/17/2007
Last updated
08/22/2020
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