Organization
SOUTHERN OHIO MEDICAL CENTER
Active
Other names
SOUTHERN OHIO MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RORY PHILLIPS (DIR OF PHCY)
(740) 356-8193
Entity
Organization
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8044
(740) 356-6393
Mailing address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8044
(740) 356-6393
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HOS.020040650-03
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2076807
PK
—
Enumeration date
06/21/2006
Last updated
08/19/2016
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