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Organization

PCA-CORRECTIONS LLC

Active
Other names
PCA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID WREN (PIC)
(513) 530-1636
Entity
Organization

Contact information

Practice address
9818 WINDISCH RD, WEST CHESTER, OH 45069-3806
(513) 530-1636
(513) 530-1698
Mailing address
9818 WINDISCH RD, WEST CHESTER, OH 45069-3806
(513) 530-1636
(513) 530-1698

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
021700300
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2081076
PK
05
2721095
OH
Enumeration date
09/25/2007
Last updated
07/09/2013
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