Organization
DOWNTOWN DRUG
Active
Other names
DOWNTOWN DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL TETER (OWNERS)
(937) 840-0136
Entity
Organization
Contact information
Practice address
111 S HIGH ST, HILLSBORO, OH 45133-1442
(937) 840-0136
(937) 840-0348
Mailing address
111 S HIGH ST, HILLSBORO, OH 45133-1442
(937) 840-0136
(937) 840-0348
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP.022642850-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065983
—
OH
01
—
2075363
PK
—
Enumeration date
08/20/2006
Last updated
09/07/2016
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