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Organization
IHS PHARMACY AND WELLNESS CTR LLC
Active
Organization
IHS PHARMACY AND WELLNESS CTR LLC
Active
Other names
IHS PHARMACY AND WELLNESS CTR
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WEEKS RPH (OWNER)
(513) 257-5309
Entity
Organization
Contact information
Practice address
77 S CENTRAL AVE, FAIRBORN, OH 45324-4716
(937) 482-0328
(937) 482-0342
Mailing address
77 S CENTRAL AVE, FAIRBORN, OH 45324-4716
(937) 482-0328
(937) 482-0342
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021584000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3674505
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/11/2006
Last updated
10/29/2010
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