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Organization

L T C PHARMACY, LLC

Active
Other names
L T C Pharmacy, Ohio
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER MICHAEL SCHOEN (OWNER)
(616) 214-8011
Entity
Organization

Contact information

Practice address
2233 TRACY RD STE B, NORTHWOOD, OH 43619-1302
(419) 214-3198
(616) 554-9581
Mailing address
2233 TRACY RD STE B, NORTHWOOD, OH 43619-1302
(419) 214-3198
(616) 554-9581

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
022158900
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0063624
OH
Enumeration date
10/21/2011
Last updated
06/27/2014
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