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Organization
ALTEV COMMUNITY PHARMACY LLC
Active
Organization
ALTEV COMMUNITY PHARMACY LLC
Active
Other names
Altev Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL AYANJOKE PHARMD (OWNER)
(419) 344-4392
Entity
Organization
Contact information
Practice address
3559 READING RD, CINCINNATI, OH 45229-2666
(937) 469-8235
(513) 672-0630
Mailing address
3559 READING RD STE 104, CINCINNATI, OH 45229-2688
(513) 776-4580
(513) 776-4590
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024062
—
OH
Enumeration date
06/29/2023
Last updated
06/17/2024
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