Organization
ANTHONYS PHARMACY INC
Active
Other names
ANTHONY'S PHARMACY,INC
Organization subpart
No
Provider details
NPI number
Authorized official
INNOCENT MABATAH (PHARMACIST/OWNER)
(614) 501-4410
Entity
Organization
Contact information
Practice address
1719 BRICE RD, REYNOLDSBURG, OH 43068-2705
(614) 501-4410
(614) 501-4430
Mailing address
1719 BRICE RD, REYNOLDSBURG, OH 43068-2705
(614) 501-4410
(614) 501-4430
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022555300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150361
—
OH
01
—
2154216
PK
—
Enumeration date
10/01/2015
Last updated
07/19/2018
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