# IHS PHARMACY AND WELLNESS CTR 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:** IHS PHARMACY AND WELLNESS CTR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952351637
- **Authorized official:** STEPHEN WEEKS RPH (OWNER)
- **Authorized official phone:** (513) 257-5309

## Contact information

- **Practice address:** 77 S CENTRAL AVE, FAIRBORN, OH 45324-4716
- **Practice address phone:** (937) 482-0328
- **Practice address fax:** (937) 482-0342
- **Mailing address:** 77 S CENTRAL AVE, FAIRBORN, OH 45324-4716
- **Mailing address phone:** (937) 482-0328
- **Mailing address fax:** (937) 482-0342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 021584000 | OH | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 10/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3674505 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |