Organization
UPTOWN PHARMACY LLC
Active
Parent organization
UPTOWN PHARMACY LLC
Other names
Essentra Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPTOWN PHARMACY LLC
Authorized official
DR. NICHOLAS WILLIAM NEWMAN PHARMD (PHARMACIST IN CHARGE)
(419) 253-0732
Entity
Organization
Contact information
Practice address
73 SPORTSMAN DR, SUITE B, MARENGO, OH 43334-1800
(419) 253-0632
(419) 253-0622
Mailing address
73 SPORTSMAN DR, SUITE B, MARENGO, OH 43334-1800
(419) 253-0632
(419) 253-0622
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
022629350
OH
333600000X
Pharmacy
022629350
OH
3336C0003X
Community/Retail Pharmacy
Primary
022629350
OH
Other
Enumeration date
09/30/2016
Last updated
04/16/2026
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