Organization
PERRY PHARMACY ENTERPRISE LLC
Active
Other names
CAMDEN VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE PERRY PHARMD (OWNER)
(937) 336-3637
Entity
Organization
Contact information
Practice address
75 W CENTRAL AVE, CAMDEN, OH 45311
(937) 452-1263
(937) 452-3957
Mailing address
75 W CENTRAL AVE, CAMDEN, OH 45311
(937) 452-1263
(937) 452-3957
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP.020187400-03
OH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492926
—
OH
01
—
2075910
PK
—
Enumeration date
10/20/2006
Last updated
12/19/2022
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