# IHS PHARMACY & WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508174350
- **Authorized official:** MR. TODD ALLEN TACKAGE (PHARMACY MANAGER)
- **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 | 022075950 | OH | Yes |

## Other

- **Enumeration date:** 09/15/2010
- **Last updated:** 09/28/2010