Organization
ZIKS FAMILY PHARMACY INC 100
Active
Other names
ZIKS FAMILY PHARMACY INC 100
Organization subpart
No
Provider details
NPI number
Authorized official
NNODUM IHEME (PRESIDENT)
(937) 225-9350
Entity
Organization
Contact information
Practice address
1130 W 3RD ST, DAYTON, OH 45402-6812
(937) 225-9350
(937) 225-9355
Mailing address
1130 W 3RD ST, DAYTON, OH 45402-6812
(937) 225-9350
(937) 225-9355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022055300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3679101
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/30/2010
Last updated
03/15/2012
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