Organization
EXCELS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBIMBA ISAAC PHARMACIST (PRESIDENT/OWNER)
(937) 572-1275
Entity
Organization
Contact information
Practice address
2800 SALEM AVE, DAYTON, OH 45406-2750
(937) 278-8700
(937) 278-8701
Mailing address
2800 SALEM AVE, DAYTON, OH 45406-2750
(937) 278-8700
(937) 278-8701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0383897
—
OH
Enumeration date
10/28/2019
Last updated
05/09/2022
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