Centerville Ltc Pharmacy

LBN: Virtus Ohio Pharmacy Llc
Centerville Ltc Pharmacy is an health care organization with primary practice located at 436 Alexandersville Rd , Miamisburg OH 45342-3658. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Virtus Ohio Pharmacy Llc can be contacted via phone (937) 435-5751, or through Shah, Rutul via phone (312) 391-6845.

Contact Information

Primary practice address
436 Alexandersville Rd Miamisburg OH 45342-3658
Fax: (937) 435-5759
Website:
Authorized official contact:
Name: Shah, Rutul PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PSNH.022586600- Ohio

Profile Details

NPI number 1891144986
LBN Legal business name Virtus Ohio Pharmacy Llc
DBA Doing business as Centerville Ltc Pharmacy
Authorized official Shah, Rutul PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2016
Last updated Jul 26th, 2019 - about 6 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 1891144986 NPPES
Other 2160200 PK
MEDICAID 0170240 PK

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