Organization
IHS-LTC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BRIAN WEEKS (PHARMACIST)
(937) 374-0899
Entity
Organization
Contact information
Practice address
104 N DETROIT ST, XENIA, OH 45385-2912
(937) 372-5480
(937) 372-5742
Mailing address
104 N DETROIT ST, XENIA, OH 45385-2912
(937) 372-5480
(937) 372-5742
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
022112050
OH
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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