National Provider Identifier Database

HEALTHSOURCE OF OHIO INC
Pharmacy

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.


Contact Information

HEALTHSOURCE OF OHIO INC
218 STERN RD
SEAMAN, OH45679-9607
Phone: 937-386-0049
Fax: 937-386-0230
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for HEALTHSOURCE OF OHIO INC

NPI Number 1376612119
Legal business name
LBN
HEALTHSOURCE OF OHIO INC
Authorized official JOSEPH PRATHER II - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/07/2006
Last updated 09/18/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 02-1220950
  • OH Medicaid: 2174614

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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