# SOUTHERN OHIO MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOMC Pharmacy South Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962861047
- **Authorized official:** RORY PHILLIPS (DIRECTOR OF PHARMACY AND RESPIRATOR)
- **Authorized official phone:** (740) 356-8113

## Contact information

- **Practice address:** 1248 KINNEYS LN, PORTSMOUTH, OH 45662-2927
- **Practice address phone:** (740) 356-8193
- **Mailing address:** 1805 27TH ST, PORTSMOUTH, OH 45662-2640
- **Mailing address phone:** (740) 356-8193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 022562850 | OH | Yes |

## Other

- **Enumeration date:** 02/17/2016
- **Last updated:** 02/17/2016