Organization
SOUTHERN OHIO MEDICAL CENTER
Active
Other names
SOUTHERN OHIO MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RORY PHILLIPS (DIRECTOR OF PHARMACY)
(740) 356-8113
Entity
Organization
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8060
(740) 356-8514
Mailing address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8113
(740) 356-8514
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022457650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148395
PK
—
Enumeration date
10/20/2014
Last updated
03/20/2017
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