Organization
WELLNESS 1 PHARMACY-WEST
Active
Other names
WELLNESS1PHARMACY-WEST CARROLLTON
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN YAHYA RPH (PRESIDENT/PIC/AO)
(513) 515-9366
Entity
Organization
Contact information
Practice address
2092 S ALEX RD, SUITE A, WEST CARROLLTON, OH 45449-2491
(937) 384-7777
(937) 384-7778
Mailing address
2092 S ALEX RD, SUITE A, WEST CARROLLTON, OH 45449-2491
(937) 384-7777
(937) 384-7778
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022653350-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193686
—
OH
01
—
2166240
PK
—
Enumeration date
11/09/2016
Last updated
03/16/2017
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