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Organization
SAMARITAN LTC PHARMACY
Active
Organization
SAMARITAN LTC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM PANCOAST (CEO)
(937) 567-3406
Entity
Organization
Contact information
Practice address
4750 SALEM AVE, TROTWOOD, OH 45416-1714
(937) 567-3406
(937) 341-8875
Mailing address
4750 SALEM AVE, TROTWOOD, OH 45416-1714
(937) 567-3406
(937) 341-8875
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
OH
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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