Healthcare Provider Details

I. General information

NPI: 1609608892
Provider Name (Legal Business Name): GOOD PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 W ELM ST STE 300
LIMA OH
45805-2555
US

IV. Provider business mailing address

3101 W ELM ST STE 300
LIMA OH
45805-2555
US

V. Phone/Fax

Practice location:
  • Phone: 419-673-7754
  • Fax:
Mailing address:
  • Phone: 419-673-7754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ABIGAIL AKYEAMPONG
Title or Position: MANAGER
Credential: NP
Phone: 740-818-5248