# ZIKS FAMILY PHARMACY INC 100

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ziks Family Pharmacy \#100
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619766888
- **Authorized official:** NNODUM IHEME R.PH (PRESIDENT)
- **Authorized official phone:** (513) 739-6293

## Contact information

- **Practice address:** 1130 W 3RD ST, DAYTON, OH 45402-6812
- **Practice address phone:** (937) 225-9350
- **Practice address fax:** (937) 225-9355
- **Mailing address:** 1130 W 3RD ST, DAYTON, OH 45402-6812
- **Mailing address phone:** (937) 225-9350
- **Mailing address fax:** (937) 225-9355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835G0303X | Geriatric Pharmacist | — | NULL | — |
| 1835G0303X | Geriatric Pharmacist | — | — | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2025
- **Last updated:** 05/05/2025