Organization
MY PHARMACY OF BELLEFONTAINE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA JEAN MURDOCK RPH (PIC/OWNER)
(937) 441-1758
Entity
Organization
Contact information
Practice address
932 E SANDUSKY AVE, BELLEFONTAINE, OH 43311-2856
(937) 441-1758
Mailing address
130 VIRGINIA DRIVE, WEST LIBERTY, OH 43357
(937) 599-3408
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
05/20/2015
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