Organization
FIELDS FAMILY ENTERPRISE, INC
Active
Other names
Waynesville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN LINDA FIELDS PHARM.D.. (VICE-PRESIDENT)
(513) 897-7076
Entity
Organization
Contact information
Practice address
415 S MAIN ST, WAYNESVILLE, OH 45068-9553
(513) 897-7076
(513) 897-1446
Mailing address
415 S MAIN ST, P.O. BOX 636, WAYNESVILLE, OH 45068-9553
(513) 897-7076
(513) 897-1446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
02-565750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721268
—
OH
Enumeration date
08/11/2005
Last updated
08/22/2020
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