Organization
HEALTHSOURCE OF OHIO INC
Active
Other names
HEALTHSOURCE SEAMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W PRATHER II MD (CEO)
(513) 707-4041
Entity
Organization
Contact information
Practice address
218 STERN RD, SEAMAN, OH 45679-9607
(937) 386-0049
(937) 386-0230
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
02-1220950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2174614
—
OH
Enumeration date
11/07/2006
Last updated
09/18/2024
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