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Contact Information

HEARTLAND PHARMACY 2 LLC
2749 W ALEX BELL RD
MORAINE, OH45459-1123
 Phone: 937-395-3690
 Fax: 937-395-3694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HEARTLAND PHARMACY 2 LLC

NPI Number 1083964787
LBN Legal business name HEARTLAND PHARMACY 2 LLC
Authorized official KINDY GHUSSIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2012
Last updated 02/25/2015 - About 11 years ago
Identifiers
OH License # 022243550
OH Medicaid 0073255
Other 2137123 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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