Organization
FIELDS FAMILY ENTERPRISES, INC
Active
Other names
Waynesville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH J FIELDS R.PH. (PRESIDENT)
(513) 897-7076
Entity
Organization
Contact information
Practice address
415 SOUTH MAIN STREET, WAYNESVILLE, OH 45068
(513) 897-7076
(513) 897-1446
Mailing address
415 SOUTH MAIN STREET, WAYNESVILLE, OH 45068
(513) 897-7076
(513) 897-1446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-565750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721268
—
OH
Enumeration date
09/27/2006
Last updated
09/15/2016
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