MEDICARE: PHARMACY OPERATIONS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	02-0733300	OH
2	3336C0003X	Community/Retail Pharmacy		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3658032	OTHER	OH	NCPDP #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750478400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY OPERATIONS, INC

Provider Business Mailing Address
First Line	:	1 RIDER TRAIL PLAZA DR
Second Line	:	SUITE 300
City	:	EARTH CITY
State	:	MO
Zip	:	63045-1313
Country	:	US
Telephone Number	:	314-993-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 BROWN ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45409-2912
Country	:	US
Telephone Number	:	937-208-2893
Fax Number	:

Authorized Official
Title or Position	:	V.P., PHARMACY OPERATIONS
Name	:	MARK A MILLER
Credential	:
Telephone Number	:	800-325-1397

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	03/07/2023

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Directions to “PHARMACY OPERATIONS, INC ” Practice Location

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