# EDEN SPRINGS PHARMACY LLC

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

## Provider details

- **NPI number:** 1578018313
- **Authorized official:** MAYER SPILMAN (MEMBER)
- **Authorized official phone:** (347) 767-2060

## Contact information

- **Practice address:** 401 N. BROADWAY ST, GREEN SPRINGS, OH 44836-9653
- **Practice address phone:** (419) 639-2626
- **Mailing address:** 401 N BROADWAY ST, GREEN SPRINGS, OH 44836-9653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | OH | Yes |

## Other

- **Enumeration date:** 08/22/2016
- **Last updated:** 02/09/2018