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Organization
HEALTH PARTNERS OF WESTERN OHIO
Active
Organization
HEALTH PARTNERS OF WESTERN OHIO
Active
Other names
Kenton Community Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CLARK (DIRECTOR OF PHARMACY SERVICES)
(419) 222-1680
Entity
Organization
Contact information
Practice address
111 W ESPY ST, KENTON, OH 43326-2117
(419) 679-5995
(419) 679-1393
Mailing address
111 W ESPY ST, KENTON, OH 43326-2117
(419) 679-5995
(419) 679-1393
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
022241650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072656
—
OH
01
—
2137048
PK
—
Enumeration date
09/21/2012
Last updated
11/13/2014
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