# SOUTHERN OHIO MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHERN OHIO MEDICAL CENTER
- **Other names:** SOMC Pharmacy Waverly
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548037476
- **Legal business name:** SOUTHERN OHIO MEDICAL CENTER
- **Authorized official:** AARON LAPP (PHARMACIST SUPERVISOR)
- **Authorized official phone:** (740) 356-5813

## Contact information

- **Practice address:** 835 W EMMITT AVE, WAVERLY, OH 45690-1190
- **Practice address phone:** (740) 356-5813
- **Practice address fax:** (937) 544-5839
- **Mailing address:** 1805 27TH ST, PORTSMOUTH, OH 45662-2686
- **Mailing address phone:** (740) 356-5813
- **Mailing address fax:** (937) 544-5839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2023
- **Last updated:** 12/11/2023