# WYANDOT MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WYANDOT MEMORIAL HOSPITAL
- **Other names:** Wyandot Memorial Providers at Forest Retail Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942925078
- **Legal business name:** WYANDOT MEMORIAL HOSPITAL
- **Authorized official:** TY R SHAULL (PRESIDENT AND CEO)
- **Authorized official phone:** (419) 294-4991

## Contact information

- **Practice address:** 112 E LIMA ST, FOREST, OH 45843-1116
- **Practice address phone:** (419) 273-5108
- **Practice address fax:** (419) 273-5114
- **Mailing address:** 112 E LIMA ST, FOREST, OH 45843-1116
- **Mailing address phone:** (419) 273-5108
- **Mailing address fax:** (419) 273-5114

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2022
- **Last updated:** 10/11/2022