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Organization
HEALTH PARTNERS OF WESTERN OHIO
Active
Organization
HEALTH PARTNERS OF WESTERN OHIO
Active
Other names
New Carlisle Community Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CLARK (PHARMACY DIRECTOR)
(419) 221-3072
Entity
Organization
Contact information
Practice address
106 N MAIN ST, NEW CARLISLE, OH 45344-1835
(937) 845-5987
(937) 679-5260
Mailing address
106 N MAIN ST, NEW CARLISLE, OH 45344-1835
(937) 845-5987
(937) 679-5260
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
022225700
OH
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092874
—
OH
01
—
2141902
PK
—
Enumeration date
09/10/2013
Last updated
03/09/2017
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