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Organization

HARDING ROAD PHARMACY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DWIGHT ALLEN DOBBINS R.PH. (OWNER)
(937) 399-8531
Entity
Organization

Contact information

Practice address
400 W HARDING RD, SPRINGFIELD, OH 45504-1707
(937) 399-8531
(937) 399-4911
Mailing address
400 W HARDING RD, SPRINGFIELD, OH 45504-1707
(937) 399-8531
(937) 399-4911

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
069470001
OH
3336C0003X
Community/Retail Pharmacy
Primary
02-0181950
OH
3336L0003X
Long Term Care Pharmacy
020181950
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0478273
OH
Enumeration date
01/10/2007
Last updated
01/20/2021
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