# GREENEVIEW PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IHS PHARMACY-JAMESTOWN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487074183
- **Authorized official:** TODD TACKAGE (MEMBER)
- **Authorized official phone:** (740) 572-1561

## Contact information

- **Practice address:** 4940 COTTONVILLE RD, JAMESTOWN, OH 45335-1522
- **Practice address phone:** (937) 675-6500
- **Practice address fax:** (937) 675-6540
- **Mailing address:** 4940 COTTONVILLE RD, JAMESTOWN, OH 45335-1522
- **Mailing address phone:** (937) 675-6500
- **Mailing address fax:** (937) 675-6540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PMY.022422450-03 | OH | Yes |

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0108212 | — | OH |
| 01 | — | 2145658 | PK | — |