# HEALTH PARTNERS OF WESTERN OHIO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Carlisle Community Health Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518392414
- **Authorized official:** JENNIFER CLARK (PHARMACY DIRECTOR)
- **Authorized official phone:** (419) 221-3072

## Contact information

- **Practice address:** 106 N MAIN ST, NEW CARLISLE, OH 45344-1835
- **Practice address phone:** (937) 845-5987
- **Practice address fax:** (937) 679-5260
- **Mailing address:** 106 N MAIN ST, NEW CARLISLE, OH 45344-1835
- **Mailing address phone:** (937) 845-5987
- **Mailing address fax:** (937) 679-5260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 022225700 | OH | Yes |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/10/2013
- **Last updated:** 03/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0092874 | — | OH |
| 01 | — | 2141902 | PK | — |