Healthcare Provider Details

I. General information

NPI: 1770495574
Provider Name (Legal Business Name): DELPHOS PHARMACY1ST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 ELIDA AVE
DELPHOS OH
45833-1735
US

IV. Provider business mailing address

660 ELIDA AVE
DELPHOS OH
45833-1735
US

V. Phone/Fax

Practice location:
  • Phone: 419-692-2031
  • Fax:
Mailing address:
  • Phone: 419-692-2031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SETH ANATO
Title or Position: HEAD OF PHARMACY SERVICES
Credential: PHARMD
Phone: 419-692-2031