Healthcare Provider Details

I. General information

NPI: 1104366202
Provider Name (Legal Business Name): LO-CAL PHARMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2017
Last Update Date: 01/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4075 E GALBRAITH RD
CINCINNATI OH
45236-2323
US

IV. Provider business mailing address

4075 E GALBRAITH RD
CINCINNATI OH
45236-2323
US

V. Phone/Fax

Practice location:
  • Phone: 513-757-9019
  • Fax: 513-757-9020
Mailing address:
  • Phone: 513-757-9019
  • Fax: 513-757-9020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number22812900
License Number StateOH

VIII. Authorized Official

Name: SHADY ARAFA
Title or Position: PRESIDENT
Credential: RPH
Phone: 513-757-9019