Organization
HENCH ENTERPRISES INC
Active
Other names
RAYS PHARMACY AND WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA STAFFORD (SSECRETARY)
(419) 782-0950
Entity
Organization
Contact information
Practice address
927 N CABLE RD, STE A, LIMA, OH 45805-1747
(419) 222-0778
(419) 224-4692
Mailing address
1340 W HIGH ST, SUITE 3, DEFIANCE, OH 43512-5302
(419) 782-0950
(419) 782-6047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021228900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206044
—
OH
01
—
3657852
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/29/2006
Last updated
04/05/2012
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