Organization
PLK-2 COMPANY LLC
Active
Other names
LARRY'S VARIETY AND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY REED (RPH-OWNER)
(567) 246-8001
Entity
Organization
Contact information
Practice address
5911 WECKERLY RD, WHITEHOUSE, OH 43571-9648
(567) 246-8001
(419) 913-3384
Mailing address
5911 WECKERLY RD, WHITEHOUSE, OH 43571-9648
(567) 246-8001
(419) 913-3384
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022551500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155647
PK
—
Enumeration date
11/27/2015
Last updated
12/03/2015
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