Organization
HERITAGE PHARMACY INC
Active
Other names
HERITAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HUNTER RPH (SECRETARY)
(740) 653-0942
Entity
Organization
Contact information
Practice address
3675 DOLSON CT, CARROLL, OH 43112-9721
(740) 653-0942
(740) 654-5041
Mailing address
3675 DOLSON CT, CARROLL, OH 43112-9721
(740) 653-0942
(740) 654-5041
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020150150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0510361497
—
OH
01
—
3633460
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/01/2006
Last updated
01/18/2016
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