Organization
KET MEDS INC.
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH LYNN COX (OFFICE MANAGER)
(937) 293-3172
Entity
Organization
Contact information
Practice address
2419 FAR HILLS AVE, DAYTON, OH 45419-1502
(937) 293-3172
(937) 293-8539
Mailing address
2419 FAR HILLS AVE, DAYTON, OH 45419-1502
(937) 293-3172
(937) 293-8539
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-0943900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039672
—
OH
01
—
3658018
NCPDP #
OH
Enumeration date
06/12/2006
Last updated
03/07/2023
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