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Organization
XENIA PHARMACY LLC
Active
Organization
XENIA PHARMACY LLC
Active
Other names
medicine shoppe 963
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM MOWBRAY RPH (PRESIDENT)
(937) 376-5556
Entity
Organization
Contact information
Practice address
631 W 2ND ST, XENIA, OH 45385-3613
(937) 376-5556
(937) 435-5759
Mailing address
631 W 2ND ST, XENIA, OH 45385-3613
(937) 376-5556
(937) 435-5759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12260
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2303224
—
OH
Enumeration date
12/13/2006
Last updated
08/22/2020
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