# PEMCO PHARMACY

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

## Provider details

- **NPI number:** 1619260049
- **Authorized official:** RICHARD M DONNINI D.O. (PRESIDENT)
- **Authorized official phone:** (937) 439-4949

## Contact information

- **Practice address:** 1550 YANKEE PARK PL, CENTERVILLE, OH 45458-1868
- **Practice address phone:** (937) 439-4949
- **Practice address fax:** (937) 439-4948
- **Mailing address:** 1550 YANKEE PARK PL, CENTERVILLE, OH 45458-1868
- **Mailing address phone:** (937) 439-4949
- **Mailing address fax:** (937) 439-4948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | CLPH 022117850 | OH | Yes |

## Other

- **Enumeration date:** 05/18/2011
- **Last updated:** 05/18/2011