# HEALTHLAND PHARMACY LLC

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

## Provider details

- **NPI number:** 1760727416
- **Authorized official:** KOFI FOSU (PHARMACY MANAGER)
- **Authorized official phone:** (614) 299-9669

## Contact information

- **Practice address:** 1979 CLEVELAND AVE, COLUMBUS, OH 43211-2568
- **Practice address phone:** (614) 299-9669
- **Practice address fax:** (614) 299-9665
- **Mailing address:** 1979 CLEVELAND AVE, COLUMBUS, OH 43211-2568
- **Mailing address phone:** (614) 299-9669
- **Mailing address fax:** (614) 299-9665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 10/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0077869 | — | OH |