Organization
LICKING MEMORIAL HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON EDWARD STURGEON R.PH. (MEDICATION THERAPY CLINIC MANAGER)
(220) 564-1898
Entity
Organization
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-1898
(220) 564-1899
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-1898
(220) 564-1899
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
03325440
OH
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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