Organization
ZIKS FAMILY PHARMACY INC 102
Active
Other names
ZIKS FAMILY PHARMACY #102
Organization subpart
No
Provider details
NPI number
Authorized official
NNODUM IHEME (OWNER)
(937) 278-9457
Entity
Organization
Contact information
Practice address
1120 W 3RD ST, DAYTON, OH 45402-6834
(937) 278-9457
(937) 275-5703
Mailing address
1130 W 3RD ST, DAYTON, OH 45402-6812
(937) 278-9457
(937) 275-5703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
021990900
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3678426
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/11/2009
Last updated
07/11/2024
Update your record
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