Organization
VIRTUS OHIO PHARMACY LLC
Active
Other names
Hannah Neil Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAYE WEXLER (PRESIDENT)
(937) 435-5751
Entity
Organization
Contact information
Practice address
301 OBETZ RD, PHARMACY DEPARTMENT, COLUMBUS, OH 43207-4036
(937) 435-5751
Mailing address
9352 DAYTON LEBANON PIKE, SUITE B, CENTERVILLE, OH 45458-3843
(937) 435-5751
(937) 435-5759
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163966
PK
—
Enumeration date
09/01/2016
Last updated
09/07/2016
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