# WYANDOT MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WYANDOT MEMORIAL HOSPITAL
- **Other names:** Koehler Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871254599
- **Legal business name:** WYANDOT MEMORIAL HOSPITAL
- **Authorized official:** MR. TY R SHAULL (PRESIDENT AND CEO)
- **Authorized official phone:** (419) 294-4991

## Contact information

- **Practice address:** 425 W CHURCH ST, UPPER SANDUSKY, OH 43351-1038
- **Practice address phone:** (419) 294-1916
- **Practice address fax:** (419) 294-0087
- **Mailing address:** 885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1098
- **Mailing address phone:** (419) 294-4991
- **Mailing address fax:** (419) 209-0278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2022
- **Last updated:** 04/05/2024