Healthcare Provider Details

I. General information

NPI: 1952247645
Provider Name (Legal Business Name): OHIO INTAKE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 S 2ND ST STE 402
HAMILTON OH
45011-2897
US

IV. Provider business mailing address

6 S 2ND ST STE 402
HAMILTON OH
45011-2897
US

V. Phone/Fax

Practice location:
  • Phone: 513-795-1939
  • Fax: 513-285-3060
Mailing address:
  • Phone: 513-795-1939
  • Fax: 513-285-3060

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: PAUL GREENALL
Title or Position: MANAGER
Credential:
Phone: 415-860-2534