Organization
MIKES BATAVIA PHARMACY INC
Active
Other names
MIKES BATAVIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KRUSLING (VP)
(513) 732-3000
Entity
Organization
Contact information
Practice address
2234 BAUER RD SUITE A, BATAVIA, OH 45103
(513) 732-3000
(513) 732-3014
Mailing address
2234 BAUER RD SUITE A, BATAVIA, OH 45103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021476500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2560803
—
OH
01
—
3673452
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
03/05/2009
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