# MY PHARMACY OF BELLEFONTAINE,LLC

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

## Provider details

- **NPI number:** 1700292885
- **Authorized official:** MS. CARLA JEAN MURDOCK RPH (PIC/OWNER)
- **Authorized official phone:** (937) 441-1758

## Contact information

- **Practice address:** 932 E SANDUSKY AVE, BELLEFONTAINE, OH 43311-2856
- **Practice address phone:** (937) 441-1758
- **Mailing address:** 130 VIRGINIA DRIVE, WEST LIBERTY, OH 43357
- **Mailing address phone:** (937) 599-3408

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 05/20/2015
