Organization
MAHALAKSHMI, LLC
Active
Other names
HOME TOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHISH P PATEL RPH (OWNER)
(937) 320-1500
Entity
Organization
Contact information
Practice address
3899 INDIAN RIPPLE RD, SUITE-A, BEAVERCREEK, OH 45440-3410
(937) 320-1500
(937) 320-1507
Mailing address
3899 INDIAN RIPPLE RD, SUITE-A, BEAVERCREEK, OH 45440-3410
(937) 672-3690
(937) 320-1507
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022177100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060845
—
OH
Enumeration date
02/06/2012
Last updated
11/25/2013
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