Organization
FIVE RIVERS HEALTH CENTERS
Active
Other names
Family Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TARA R BROWN (CFO)
(937) 734-6821
Entity
Organization
Contact information
Practice address
2261 PHILADELPHIA DR, DAYTON, OH 45406-1814
(937) 802-9381
(937) 684-4790
Mailing address
2261 PHILADELPHIA DR, DAYTON, OH 45406-1814
(937) 802-9381
(937) 684-4790
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232000111
STATE OF OHIO PHARMACY LICENSE
OH
Enumeration date
07/18/2019
Last updated
07/18/2019
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