Organization
HEALTHSOURCE OF OHIO INC
Active
Other names
HEALTHSOURCE OF OHIO BATAVIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W PRATHER II MD (CEO)
(513) 707-4041
Entity
Organization
Contact information
Practice address
2055 HOSPITAL DR, BATAVIA, OH 45103-1964
(513) 732-0700
(513) 732-0642
Mailing address
2055 HOSPITAL DR, SUITE 130, BATAVIA, OH 45103-1964
(513) 732-0700
(513) 732-0642
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02-2076650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126485
PK
—
05
—
3077843
—
OH
Enumeration date
08/05/2010
Last updated
09/18/2024
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