Organization
YELLOW SPRINGS PHARMACY LLC
Active
Other names
Yellow Springs Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIRAL PATEL (MANAGER)
(937) 767-1070
Entity
Organization
Contact information
Practice address
263 XENIA AVE, YELLOW SPRINGS, OH 45387-1832
(937) 767-1070
(937) 767-9209
Mailing address
263 XENIA AVE, YELLOW SPRINGS, OH 45387
(937) 767-1070
(937) 767-9209
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2074469
PK
—
05
—
2776616
—
OH
Enumeration date
02/20/2007
Last updated
09/17/2024
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