# ARIES PHARMACY LLC

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

## Provider details

- **NPI number:** 1891807806
- **Authorized official:** MR. BRENT WALLACE R.PH. (OWNER/SOLE MEMBER/RESPONSIBLE PHARM)
- **Authorized official phone:** (614) 633-7327

## Contact information

- **Practice address:** 8200 STATE ROUTE 366, SUITE 3, RUSSELLS POINT, OH 43348-9670
- **Practice address phone:** (973) 843-3700
- **Practice address fax:** (937) 843-2801
- **Mailing address:** 8200 STATE ROUTE 366, SUITE 3, RUSSELLS POINT, OH 43348-9670
- **Mailing address phone:** (973) 843-3700
- **Mailing address fax:** (937) 843-2801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 020495300 | OH | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0577666 | — | OH |
| 01 | — | 3643269 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |