Organization
HERITAGE PHARMACY INC
Active
Other names
HERITAGE HEALTHCARE SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY HUNTER (PRESIDENT)
(740) 653-0942
Entity
Organization
Contact information
Practice address
3675 DOLSON CT, CARROLL, OH 43112-9721
(740) 653-0942
(740) 653-7372
Mailing address
3675 DOLSON CT, CARROLL, OH 43112-9721
(740) 653-0942
(740) 653-7372
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
021090450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2076340
PK
—
05
—
3143717
—
OH
Enumeration date
08/31/2006
Last updated
07/19/2018
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