Organization
WASO HEALTHCARE LLC
Active
Other names
MIDDLETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WAEL KHALIFA (OWNER,AO)
(513) 705-6252
Entity
Organization
Contact information
Practice address
4421 ROOSEVELT BLVD, STE H, MIDDLETOWN, OH 45044-9023
(513) 705-6252
(513) 705-6253
Mailing address
4421 ROOSEVELT BLVD, STE H, MIDDLETOWN, OH 45044-9023
(513) 705-6252
(513) 705-6253
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02226650
OH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1822487
—
OH
01
—
2135001
PK
—
Enumeration date
06/21/2007
Last updated
07/19/2018
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