Organization
SOUTHERN OHIO MEDICAL CENTER
Active
Other names
SOMC PHARMACY WEST UNION
Organization subpart
No
Provider details
NPI number
Authorized official
RORY PHILLIPS (ADMIN DIRECTOR OF PHARMACY)
(740) 356-8193
Entity
Organization
Contact information
Practice address
90 CIC BLVD, WEST UNION, OH 45693-8024
(937) 544-8989
(937) 544-5839
Mailing address
90 CIC BLVD, WEST UNION, OH 45693-8024
(937) 544-8989
(937) 544-5839
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP02242430003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108488
—
OH
01
—
2146607
PK
—
Enumeration date
06/30/2014
Last updated
03/08/2017
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