Organization
SARDINIA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE M ERICKSON RPH (OWNER)
(937) 446-2545
Entity
Organization
Contact information
Practice address
7110 BACHMAN RD, SARDINIA, OH 45171-9456
(937) 446-2545
(937) 446-2600
Mailing address
7110 BACHMAN RD, SARDINIA, OH 45171-9456
(937) 446-2545
(937) 446-2600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
02-0761350
OH
333600000X
Pharmacy
Primary
02-0761350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0945722
—
OH
Enumeration date
08/25/2006
Last updated
05/12/2008
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