# HEARTLAND PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Pharmacy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811247505
- **Authorized official:** KINDY GHUSSIN RPH (OWNER, PIC)
- **Authorized official phone:** (937) 829-1012

## Contact information

- **Practice address:** 3000 FAR HILLS AVE, KETTERING, OH 45429-2510
- **Practice address phone:** (937) 723-9075
- **Practice address fax:** (937) 723-9450
- **Mailing address:** 3000 FAR HILLS AVENUE, KETTERING, OH 45429-2510
- **Mailing address phone:** (937) 723-9075
- **Mailing address fax:** (937) 723-9450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 022241550 | OH | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0073227 | — | OH |
| 01 | — | 2137122 | PK | — |