Organization
WINDHAM PHARMACY INC
Active
Other names
WINDHAM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SWIPAS (OWNER)
(330) 326-3851
Entity
Organization
Contact information
Practice address
9650 E CENTER ST, WINDHAM, OH 44288-1050
(330) 326-3851
(330) 326-2995
Mailing address
9650 E CENTER ST, WINDHAM, OH 44288-1050
(330) 326-3851
(330) 326-2995
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020179100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0471467
—
OH
01
—
3615993
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2006
Last updated
11/30/2011
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