Organization
ARIES PHARMACY LLC
Active
Other names
Aries Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT WALLACE R.PH. (OWNER/SOLE MEMBER/RESPONSIBLE PHARM)
(614) 633-7327
Entity
Organization
Contact information
Practice address
8200 STATE ROUTE 366, SUITE 3, RUSSELLS POINT, OH 43348-9670
(973) 843-3700
(937) 843-2801
Mailing address
8200 STATE ROUTE 366, SUITE 3, RUSSELLS POINT, OH 43348-9670
(973) 843-3700
(937) 843-2801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
020495300
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0577666
—
OH
01
—
3643269
NCPDP
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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