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Organization

LARRY REED

Active
Other names
WHITEHOUSE APOTHECARY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY D REED RPH (OWNER)
(419) 877-5712
Entity
Organization

Contact information

Practice address
5911 WECKERLY RD, WHITEHOUSE, OH 43571-9648
(419) 877-5712
(419) 877-0222
Mailing address
5911 WECKERLY RD, WHITEHOUSE, OH 43571-9648
(419) 877-5712
(419) 877-0222

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-0373800
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0533104
OHIO MEDICAID
OH
Enumeration date
09/15/2006
Last updated
06/20/2008
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