Organization
ALTEV COMMUNITY PHARMACY LLC
Active
Other names
Altev Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL AYANJOKE PHARMD (OWNER)
(419) 344-4392
Entity
Organization
Contact information
Practice address
3559 READING RD, CINCINNATI, OH 45229-2666
(937) 469-8235
(513) 672-0630
Mailing address
3559 READING RD STE 104, CINCINNATI, OH 45229-2688
(513) 776-4580
(513) 776-4590
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024062
—
OH
Enumeration date
06/29/2023
Last updated
06/17/2024
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