Organization
WELLNESS 1 PHARMACY- WEST
Active
Other names
WELLNESS1PHARMACY-WEST CARROLLTON SUITE B
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BOULTON RPH (MANAGER)
(937) 384-7777
Entity
Organization
Contact information
Practice address
2092 S ALEX RD STE B, SUITE B, WEST CARROLLTON, OH 45449-2491
(937) 384-7777
(937) 384-7778
Mailing address
2092 S ALEX RD STE B, SUITE B, WEST CARROLLTON, OH 45449-2491
(937) 384-7778
(937) 384-7778
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PSNH.022653400-
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166154
PK
—
Enumeration date
11/08/2016
Last updated
07/19/2018
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