# VIRTUS OHIO PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Centerville LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891144986
- **Authorized official:** RUTUL SHAH PHARMD (CEO)
- **Authorized official phone:** (312) 391-6845

## Contact information

- **Practice address:** 436 ALEXANDERSVILLE RD, MIAMISBURG, OH 45342-3658
- **Practice address phone:** (937) 435-5751
- **Practice address fax:** (937) 435-5759
- **Mailing address:** 436 ALEXANDERSVILLE RD, MIAMISBURG, OH 45342-3658
- **Mailing address phone:** (937) 435-5751
- **Mailing address fax:** (937) 435-5759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PSNH.022586600- | OH | Yes |

## Other

- **Enumeration date:** 06/09/2016
- **Last updated:** 07/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0170240 | — | OH |
| 01 | — | 2160200 | PK | — |