Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CEDARVILLE HOMETOWN PHARMACY LLC
Active
Organization
CEDARVILLE HOMETOWN PHARMACY LLC
Active
Other names
Cedar Care Village Pharmacy, Cedar Care Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE PERRY (OWNER)
(937) 336-3637
Entity
Organization
Contact information
Practice address
63 N. MAIN ST., CEDARVILLE, OH 45314
(937) 766-2273
(937) 697-5086
Mailing address
PO BOX 662, CEDARVILLE, OH 45314
(937) 766-2273
(937) 697-5086
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
022553950
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023000050
OHIO BOARD OF PHARMACY TERMINAL DISTRIBUTORS LICENSE
OH
05
—
0332877
—
OH
Enumeration date
01/13/2016
Last updated
11/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers