Organization
ADENA PHARMACY, LLC
Active
Other names
Adena Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KNISLEY (ASS. PHARMACY DIRECTOR)
(740) 779-8763
Entity
Organization
Contact information
Practice address
4439 STATE ROUTE 159, SUITE G40, CHILLICOTHE, OH 45601-8207
(740) 779-8763
(740) 779-8769
Mailing address
4439 STATE ROUTE 159, SUITE G40, CHILLICOTHE, OH 45601-8207
(740) 779-8763
(740) 779-8769
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022135850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3679911
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/14/2011
Last updated
09/14/2011
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