# ADENA PHARMACY LLC

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

## Provider details

- **NPI number:** 1942690698
- **Authorized official:** MICHAEL JOHNSON (OUTPATIENT PHARMACY MANAGER)
- **Authorized official phone:** (740) 779-8761

## Contact information

- **Practice address:** 100 DAWN LN, WAVERLY, OH 45690-9138
- **Practice address phone:** (740) 947-6320
- **Practice address fax:** (740) 947-6301
- **Mailing address:** 100 DAWN LN, WAVERLY, OH 45690-9138
- **Mailing address phone:** (740) 947-6376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RTPC.022492650-03 | OH | Yes |

## Other

- **Enumeration date:** 02/03/2015
- **Last updated:** 03/08/2017