# FAMILY PHARMACY

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

## Provider details

- **NPI number:** 1689659369
- **Authorized official:** D FRED BURTON RPH (OWNER PHARMACIST)
- **Authorized official phone:** (937) 592-2826

## Contact information

- **Practice address:** 124 S MAIN ST, BELLEFONTAINE, OH 43311-2052
- **Practice address phone:** (937) 592-2826
- **Practice address fax:** (937) 592-0913
- **Mailing address:** 124 S MAIN ST, BELLEFONTAINE, OH 43311-2052
- **Mailing address phone:** (937) 592-2826
- **Mailing address fax:** (937) 592-0913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 020759050 | OH | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 06/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0945615 | — | OH |
| 01 | — | 3616692 | NABPT | — |