# ALTEV COMMUNITY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Altev Community Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801573134
- **Authorized official:** DR. EMMANUEL AYANJOKE PHARMD (OWNER)
- **Authorized official phone:** (419) 344-4392

## Contact information

- **Practice address:** 3559 READING RD, CINCINNATI, OH 45229-2666
- **Practice address phone:** (937) 469-8235
- **Practice address fax:** (513) 672-0630
- **Mailing address:** 3559 READING RD STE 104, CINCINNATI, OH 45229-2688
- **Mailing address phone:** (513) 776-4580
- **Mailing address fax:** (513) 776-4590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | — | — |
| 333600000X | Pharmacy | — | — | Yes |
| 3336C0002X | Clinic Pharmacy | — | — | — |

## Other

- **Enumeration date:** 06/29/2023
- **Last updated:** 06/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0024062 | — | OH |