Organization
LICKING MEMORIAL HEALTH SYSTEMS
Active
Other names
Licking Memorial Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A. MONTAGNESE (CEO PRESIDENT)
(740) 348-4000
Entity
Organization
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4545
(220) 564-4546
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4545
(220) 564-4546
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
02-1095050
OH
Other
Enumeration date
05/25/2007
Last updated
11/01/2023
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