Organization
VIRTUS OHIO PHARMACY LLC
Active
Other names
Centerville LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUTUL SHAH PHARMD (CEO)
(312) 391-6845
Entity
Organization
Contact information
Practice address
436 ALEXANDERSVILLE RD, MIAMISBURG, OH 45342-3658
(937) 435-5751
(937) 435-5759
Mailing address
436 ALEXANDERSVILLE RD, MIAMISBURG, OH 45342-3658
(937) 435-5751
(937) 435-5759
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PSNH.022586600-
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170240
—
OH
01
—
2160200
PK
—
Enumeration date
06/09/2016
Last updated
07/26/2019
About Stedi
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