# HERITAGE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HERITAGE HEALTHCARE SERVICES INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467564476
- **Authorized official:** SHELLEY HUNTER (PRESIDENT)
- **Authorized official phone:** (740) 653-0942

## Contact information

- **Practice address:** 3675 DOLSON CT, CARROLL, OH 43112-9721
- **Practice address phone:** (740) 653-0942
- **Practice address fax:** (740) 653-7372
- **Mailing address:** 3675 DOLSON CT, CARROLL, OH 43112-9721
- **Mailing address phone:** (740) 653-0942
- **Mailing address fax:** (740) 653-7372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 021090450 | OH | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2076340 | PK | — |
| 05 | — | 3143717 | — | OH |