Organization
KMG PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHMOUD JAMIL SHALTAF RPH (PIC/OWNER)
(708) 589-5668
Entity
Organization
Contact information
Practice address
846 E MAIN ST, TROTWOOD, OH 45426-2911
(937) 529-4433
(937) 715-4447
Mailing address
846 E MAIN ST, TROTWOOD, OH 45426-2911
(937) 529-4433
(937) 715-4447
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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