Organization
SOUTHERN OHIO MEDICAL CENTER
Active
Parent organization
SOUTHERN OHIO MEDICAL CENTER
Other names
SOMC Pharmacy Waverly
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN OHIO MEDICAL CENTER
Authorized official
AARON LAPP (PHARMACIST SUPERVISOR)
(740) 356-5813
Entity
Organization
Contact information
Practice address
835 W EMMITT AVE, WAVERLY, OH 45690-1190
(740) 356-5813
(937) 544-5839
Mailing address
1805 27TH ST, PORTSMOUTH, OH 45662-2686
(740) 356-5813
(937) 544-5839
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232000436
OHIO BOARD OF PHARMACY LICENSE
OH
Enumeration date
12/11/2023
Last updated
12/11/2023
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