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Organization
VIRTUS OHIO PHARMACY LLC
Active
Organization
VIRTUS OHIO PHARMACY LLC
Active
Other names
Centerville LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUTUL SHAH PHARMD (CEO)
(312) 391-6845
Entity
Organization
Contact information
Practice address
436 ALEXANDERSVILLE RD, MIAMISBURG, OH 45342-3658
(937) 435-5751
(937) 435-5759
Mailing address
436 ALEXANDERSVILLE RD, MIAMISBURG, OH 45342-3658
(937) 435-5751
(937) 435-5759
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PSNH.022586600-
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170240
—
OH
01
—
2160200
PK
—
Enumeration date
06/09/2016
Last updated
07/26/2019
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