Organization
SOUTHERN OHIO MEDICAL CENTER
Active
Other names
SOMC Pharmacy Wheelersburg
Organization subpart
No
Provider details
NPI number
Authorized official
RORY PHILLIPS (DIRECTOR OF PHARMACY/RESPIRATORY SE)
(740) 574-8933
Entity
Organization
Contact information
Practice address
8770 OHIO RIVER RD, WHEELERSBURG, OH 45694-1918
(740) 574-8933
(740) 356-7898
Mailing address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8193
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PMY.022572900-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153224
—
OH
01
—
2155191
PK
—
Enumeration date
11/18/2015
Last updated
03/31/2017
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