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Organization
HEALTH PARTNERS OF WESTERN OHIO
Active
Organization
HEALTH PARTNERS OF WESTERN OHIO
Active
Other names
Bryan Community Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS SUNDERHAUS (CEO)
(419) 221-3072
Entity
Organization
Contact information
Practice address
228 S MAIN ST, BRYAN, OH 43506-1755
(567) 239-4560
(419) 519-3049
Mailing address
329 N WEST ST, LIMA, OH 45801-4331
(419) 221-3072
(419) 549-5670
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
022286400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080805
—
OH
01
—
2139327
PK
—
Enumeration date
01/31/2013
Last updated
09/28/2023
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