Organization
HEARTLAND PHARMACY LLC
Active
Other names
Heartland Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KINDY GHUSSIN RPH (OWNER, PIC)
(937) 829-1012
Entity
Organization
Contact information
Practice address
3000 FAR HILLS AVE, KETTERING, OH 45429-2510
(937) 723-9075
(937) 723-9450
Mailing address
3000 FAR HILLS AVENUE, KETTERING, OH 45429-2510
(937) 723-9075
(937) 723-9450
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022241550
OH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073227
—
OH
01
—
2137122
PK
—
Enumeration date
09/11/2012
Last updated
09/19/2025
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