Adena Pike Pharmacy

LBN: Adena Pharmacy Llc
Adena Pike Pharmacy is an health care organization with primary practice located at 100 Dawn Ln , Waverly OH 45690-9138. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Adena Pharmacy Llc can be contacted via phone (740) 947-6320, or through Johnson, Michael via phone (740) 779-8761.

Contact Information

Primary practice address
100 Dawn Ln Waverly OH 45690-9138
Phone: (740) 947-6320
Fax: (740) 947-6301
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Michael
Phone: (740) 779-8761

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RTPC.022492650-03 Ohio

Profile Details

NPI number 1942690698
LBN Legal business name Adena Pharmacy Llc
DBA Doing business as Adena Pike Pharmacy
Authorized official Johnson, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2015
Last updated Mar 8th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942690698 NPPES
Ohio MEDICAID 0164501
Ohio Other 2150099

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