Organization
HEALTH PARTNERS OF WESTERN OHIO
Active
Other names
New Carlisle Community Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CLARK (PHARMACY DIRECTOR)
(419) 221-3072
Entity
Organization
Contact information
Practice address
106 N MAIN ST, NEW CARLISLE, OH 45344-1835
(937) 845-5987
(937) 679-5260
Mailing address
106 N MAIN ST, NEW CARLISLE, OH 45344-1835
(937) 845-5987
(937) 679-5260
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
022225700
OH
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092874
—
OH
01
—
2141902
PK
—
Enumeration date
09/10/2013
Last updated
03/09/2017
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