Organization
RCHP - WILMINGTON LLC
Active
Other names
CMH Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
610 W MAIN ST, WILMINGTON, OH 45177-2125
(937) 283-9725
(937) 283-9818
Mailing address
610 W MAIN ST, WILMINGTON, OH 45177-2125
(937) 283-9725
(937) 283-9818
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022096450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3678705
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/08/2010
Last updated
03/11/2024
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