Organization
HEALTH PARTNERS OF WESTERN OHIO
Active
Other names
Bryan Community Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS SUNDERHAUS (CEO)
(419) 221-3072
Entity
Organization
Contact information
Practice address
228 S MAIN ST, BRYAN, OH 43506-1755
(567) 239-4560
(419) 519-3049
Mailing address
329 N WEST ST, LIMA, OH 45801-4331
(419) 221-3072
(419) 549-5670
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022286400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080805
—
OH
01
—
2139327
PK
—
Enumeration date
01/31/2013
Last updated
09/28/2023
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