Ohio Veterans Home Pharmacy-Georgetown
Organization Active NPI Long Term Care Pharmacy · Sardinia, OH
NPI 1154517878 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1154517878
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- 021416750 (OH)
- Legal business name
- OHIO VETERANS HOME PHARMACY-GEORGETOWN
- Practice address
- 7110 Bachman Rd
Sardinia, OH 45171-9456 - Phone
- (800) 284-8741
- Fax
- (937) 446-2600
- NPI assigned
- Sep 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Randall Harris, RPH
- Title
- Pharmacy Operations Manager
- Phone
- (419) 625-2454
Corporate family (same tax ID) 40
Practitioners 3
-
Dale Martin Erickson, PHARM. D.
National Provider Directory
- Tax ID family
- Central Ohio Pyschiatri
Locations
7110 Bachman Rd
Sardinia, OH 45171
Phone (800) 284-8741
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X | 021416750 | OH | Yes |
Addresses
Primary practice location
7110 Bachman Rd
Sardinia, OH 45171-9456
Mailing address
7110 Bachman Rd
Sardinia, OH 45171-9456
Phone (800) 284-8741
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2081057 | Other | PK |
Other names
- OHIO VETERANS HOME PHARMACY-GEORGETOWN
Other providers in Sardinia, OH
- Regina Sue Miller
- Christopher Robert Morris
- Erin M. Munn
- Linda N Neu
- Joellen M Noble
- Orthopaedic Consultants of Cincinnati, Inc.
- Priscilla Osborne
- Timothy W. Petrey
- Brandon Eugene Reid
- Stacy Roush
All providers in Sardinia, OH · Long Term Care Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.