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HEALTHSOURCE OF OHIO INC NPI 1376612119


NPI Information

NPI: 1376612119
Provider Name: HEALTHSOURCE OF OHIO INC

Doing Business As: HEALTHSOURCE SEAMAN PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
218 STERN RD
SEAMAN, OH
ZIP 45679
Phone: (937) 386-0049
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HEALTHSOURCE OF OHIO INC is a pharmacy in Seaman, OH. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. HEALTHSOURCE OF OHIO INC NPI is 1376612119. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthsource Seaman Pharmacy.

The provider's business location address is:

218 STERN RD
SEAMAN, OH
ZIP 45679-607
Phone: (937) 386-0049
Fax: (937) 386-0230

The provider's authorized official is Sam L. Rotunna .
The authorized official title is Director Of Pharmacy Ops and has the following contact phone number (513) 732-5084.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 4/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy02-1220950OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12174614MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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