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Organization
HEARTLAND PHARMACY LLC
Active
Organization
HEARTLAND PHARMACY LLC
Active
Other names
Heartland Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KINDY GHUSSIN RPH (OWNER, PIC)
(937) 829-1012
Entity
Organization
Contact information
Practice address
3000 FAR HILLS AVE, KETTERING, OH 45429-2510
(937) 723-9075
(937) 723-9450
Mailing address
3000 FAR HILLS AVENUE, KETTERING, OH 45429-2510
(937) 723-9075
(937) 723-9450
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
022241550
OH
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073227
—
OH
01
—
2137122
PK
—
Enumeration date
09/11/2012
Last updated
09/19/2025
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