Organization
OHIO VETERANS HOME PHARMACY-GEORGETOWN
Active
Other names
OHIO VETERANS HOME PHARMACY-GEORGETOWN
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL HARRIS RPH (PHARMACY OPERATIONS MANAGER)
(419) 625-2454
Entity
Organization
Contact information
Practice address
7110 BACHMAN RD, SARDINIA, OH 45171-9456
(800) 284-8741
(937) 446-2600
Mailing address
7110 BACHMAN RD, SARDINIA, OH 45171-9456
(800) 284-8741
(937) 446-2600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
021416750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2081057
PK
—
Enumeration date
09/17/2007
Last updated
01/18/2017
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