Organization
ANTWERP PHARMACY INC
Active
Other names
ANTWERP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA RENNO BS (R.PH./OWNER)
(419) 258-2068
Entity
Organization
Contact information
Practice address
109 S MAIN ST, ANTWERP, OH 45813-0246
(419) 258-2068
(419) 258-2444
Mailing address
109 S. MAIN ST, PO BOX 246, ANTWERP, OH 45813-0246
(419) 258-2068
(419) 258-2444
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021130900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2076260
PK
—
05
—
2111459
—
OH
Enumeration date
10/11/2006
Last updated
04/13/2017
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