Organization
GREENEVIEW PHARMACY LLC
Active
Other names
IHS PHARMACY-JAMESTOWN
Organization subpart
No
Provider details
NPI number
Authorized official
TODD TACKAGE (MEMBER)
(740) 572-1561
Entity
Organization
Contact information
Practice address
4940 COTTONVILLE RD, JAMESTOWN, OH 45335-1522
(937) 675-6500
(937) 675-6540
Mailing address
4940 COTTONVILLE RD, JAMESTOWN, OH 45335-1522
(937) 675-6500
(937) 675-6540
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PMY.022422450-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108212
—
OH
01
—
2145658
PK
—
Enumeration date
04/21/2014
Last updated
09/19/2025
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