Organization
PHARM ASSOCIATES LLC
Active
Other names
Mingo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK VOSTATEK (PHARMACIST/OWNER)
(614) 886-1673
Entity
Organization
Contact information
Practice address
116 MCLISTER AVE, MINGO JUNCTION, OH 43938-1259
(740) 535-8068
(740) 535-8079
Mailing address
116 MCLISTER AVE, MINGO JUNCTION, OH 43938-1259
(740) 535-8068
(740) 535-8079
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP.022007350-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123169
PK
—
05
—
3004340
—
OH
Enumeration date
12/21/2009
Last updated
05/16/2016
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