Organization
COMMUNITY FIRST PHARMACY INSTITUTIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ZOELLNER (CFO)
(513) 785-4752
Entity
Organization
Contact information
Practice address
3699 SYMMES RD, HAMILTON, OH 45015
(513) 632-7960
(513) 874-8000
Mailing address
3699 SYMMES RD, HAMILTON, OH 45015
(513) 632-7960
(513) 874-8000
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
022058800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022058800
STATE LIC NUMBER
—
Enumeration date
09/22/2010
Last updated
09/13/2011
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