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Organization

SOUTHERN OHIO MEDICAL CENTER

Active
Other names
SOMC Pharmacy South Campus
Organization subpart
No

Provider details

NPI number
Authorized official
RORY PHILLIPS (DIRECTOR OF PHARMACY AND RESPIRATOR)
(740) 356-8113
Entity
Organization

Contact information

Practice address
1248 KINNEYS LN, PORTSMOUTH, OH 45662-2927
(740) 356-8193
Mailing address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8193

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
022562850
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2158116
PK
Enumeration date
02/17/2016
Last updated
02/17/2016
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