Ancillary Medical Investments, Inc
Organization Active NPI Community/Retail Pharmacy · Eaton, OH
NPI 1205944667 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1205944667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 02-128250 (OH)
- Legal business name
- ANCILLARY MEDICAL INVESTMENTS, INC
- Practice address
- 304 Eaton Lewisburg Rd
Eaton, OH 45320-1105 - Phone
- (937) 456-5520
- Fax
- (937) 456-4984
- NPI assigned
- Aug 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Samuel Gary Pieratt, RPH
- Title
- President
- Phone
- (937) 456-5520
National Provider Directory
Locations
304 Lewisburg Rd
Eaton, OH 45320
Phone (937) 456-5520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 02-128250 | OH | Yes |
Addresses
Primary practice location
304 Eaton Lewisburg Rd
Eaton, OH 45320-1105
Mailing address
304 Eaton Lewisburg Rd
Eaton, OH 45320-1105
Phone (937) 456-5520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0148941 | Medicaid | OH | |
| 3606324 | Other | OH | NABP |
Other names
- Gary's Pharmacy
Other providers in Eaton, OH
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- Kirsten Alexander
- John S Allen
- Mary Allen
- Mallory Anspaugh
- Anthony E. Numrich PSC
- Samantha Ardle
- Associated Foot and Ankle Specialists of Ohio Inc
- Lora J Austin
All providers in Eaton, OH · Community/Retail 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 Aug 22, 2020. 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.