Organization
PHYSICIANS PHARMACY LLC
Active
Other names
Physicians Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CASERTA (SENIOR PARTNER)
(614) 402-2944
Entity
Organization
Contact information
Practice address
727 E 2ND ST, PIKETON, OH 45661-8052
(740) 443-6060
(740) 443-6042
Mailing address
727 E 2ND ST, PIKETON, OH 45661-8052
(740) 443-6060
(740) 443-6042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022100650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3679555
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/18/2011
Last updated
02/18/2011
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