Organization
STEELES PHARMACY INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY KISKADEN RPH (OWNER PHARMACIST)
(937) 378-6159
Entity
Organization
Contact information
Practice address
100 S MAIN ST, GEORGETOWN, OH 45121-1221
(937) 378-6159
(937) 378-6765
Mailing address
PO BOX 119, GEORGETOWN, OH 45121-0119
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3614648
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8400840
—
OH
Enumeration date
11/15/2006
Last updated
03/07/2023
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