Organization
MAIN STREET PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA GUNDLER RPH (OWNER)
(937) 783-3999
Entity
Organization
Contact information
Practice address
601 W MAIN ST, BLANCHESTER, OH 45107-1141
(937) 783-3999
(937) 783-3995
Mailing address
601 W MAIN ST, BLANCHESTER, OH 45107-1141
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2449854
—
OH
01
—
3672448
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
09/11/2025
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