Organization
WYANDOT MEMORIAL HOSPITAL
Active
Parent organization
WYANDOT MEMORIAL HOSPITAL
Other names
Koehler Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYANDOT MEMORIAL HOSPITAL
Authorized official
MR. TY R SHAULL (PRESIDENT AND CEO)
(419) 294-4991
Entity
Organization
Contact information
Practice address
425 W CHURCH ST, UPPER SANDUSKY, OH 43351-1038
(419) 294-1916
(419) 294-0087
Mailing address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1098
(419) 294-4991
(419) 209-0278
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9687512
—
OH
Enumeration date
01/05/2022
Last updated
04/05/2024
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