Organization
PHILLIP'S PHARMACY ON BRICE
Active
Other names
Phillip's Pharmacy on Brice LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER AKUNNE (MEMBER/PHARMACIST)
(614) 284-4108
Entity
Organization
Contact information
Practice address
1719 BRICE RD, REYNOLDSBURG, OH 43068-2705
(614) 577-9870
Mailing address
1719 BRICE RD, REYNOLDSBURG, OH 43068-2705
(614) 577-9870
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022221950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3680558
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/03/2012
Last updated
08/03/2012
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