FIVE RIVERS HEALTH CENTERS NPI 1497190771

NPI Information

FIVE RIVERS HEALTH CENTERS is a clinic pharmacy pharmacy in Dayton, OH. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. FIVE RIVERS HEALTH CENTERS NPI is 1497190771. The provider is registered as an organization entity type.
The provider Is Doing Business As Five Rivers Health Centers Pharmacy.

The provider's business location address is:

725 S LUDLOW ST
DAYTON, OH
ZIP 45402-610
Phone: (937) 208-8850
Fax: (937) 208-8855

The provider's authorized official is Gina Mcfarlane-el .
The authorized official title is Ceo and has the following contact phone number (937) 734-6841.

The CLIA number assigned to this NPI record is 36D2036210 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/1/2013 and was last updated on 11/1/2016.

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:

Other Identifiers

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

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