Organization
IHS PHARMACY AND WELLNESS CTR LLC
Active
Other names
IHS PHARMACY AND WELLNESS CTR
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WEEKS RPH (OWNER)
(513) 257-5309
Entity
Organization
Contact information
Practice address
77 S CENTRAL AVE, FAIRBORN, OH 45324-4716
(937) 482-0328
(937) 482-0342
Mailing address
77 S CENTRAL AVE, FAIRBORN, OH 45324-4716
(937) 482-0328
(937) 482-0342
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021584000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3674505
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/11/2006
Last updated
10/29/2010
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