# LICKING MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LICKING MEMORIAL HOSPITAL
- **Other names:** LMH Specialty Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689458762
- **Legal business name:** LICKING MEMORIAL HOSPITAL
- **Authorized official:** CYNTHIA L WEBSTER (VP, FINANCIAL SERVICES)
- **Authorized official phone:** (220) 564-4518

## Contact information

- **Practice address:** 1272 WEST MAIN STREET, SUITE 401, NEWARK, OH 43055
- **Practice address phone:** (220) 564-4544
- **Mailing address:** 1320 WEST MAIN STREET, NEWARK, OH 43055
- **Mailing address phone:** (220) 564-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2023
- **Last updated:** 08/21/2023