# HEALTHSOURCE OF OHIO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTHSOURCE OF OHIO BATAVIA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891009502
- **Authorized official:** JOSEPH W PRATHER II MD (CEO)
- **Authorized official phone:** (513) 707-4041

## Contact information

- **Practice address:** 2055 HOSPITAL DR, BATAVIA, OH 45103-1964
- **Practice address phone:** (513) 732-0700
- **Practice address fax:** (513) 732-0642
- **Mailing address:** 2055 HOSPITAL DR, SUITE 130, BATAVIA, OH 45103-1964
- **Mailing address phone:** (513) 732-0700
- **Mailing address fax:** (513) 732-0642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 02-2076650 | OH | Yes |

## Other

- **Enumeration date:** 08/05/2010
- **Last updated:** 09/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2126485 | PK | — |
| 05 | — | 3077843 | — | OH |