Organization
FIELDS FAMILY ENTERPRISES INC
Active
Other names
Dot's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN MARK MULLINS PHARMD (PIC, DIRECTOR OF PHARMACY)
(513) 600-8236
Entity
Organization
Contact information
Practice address
101 E ALEX BELL RD STE 172, CENTERVILLE, OH 45459-2752
(937) 221-9240
(937) 795-3291
Mailing address
415 S MAIN ST, WAYNESVILLE, OH 45068-9553
(513) 897-7076
(513) 897-1446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021741050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3676458
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/24/2007
Last updated
05/08/2024
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