Organization
ANCILLARY MEDICAL INVESTMENTS, INC
Active
Other names
Gary's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL GARY PIERATT RPH (PRESIDENT)
(937) 456-5520
Entity
Organization
Contact information
Practice address
304 EATON LEWISBURG RD, EATON, OH 45320-1105
(937) 456-5520
(937) 456-4984
Mailing address
304 EATON LEWISBURG RD, EATON, OH 45320-1105
(937) 456-5520
(937) 456-4984
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-128250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148941
—
OH
01
—
3606324
NABP
OH
Enumeration date
08/27/2006
Last updated
08/22/2020
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