Healthcare Provider Details

I. General information

NPI: 1912044538
Provider Name (Legal Business Name): GAHM'S PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50-A CENTER STREET
LUCASVILLE OH
45648-0001
US

IV. Provider business mailing address

50-A CENTER STREET
LUCASVILLE OH
45648-0001
US

V. Phone/Fax

Practice location:
  • Phone: 740-259-2442
  • Fax: 740-259-9341
Mailing address:
  • Phone: 740-259-2442
  • Fax: 740-259-9341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number02-0941850
License Number StateOH

VIII. Authorized Official

Name: MR. BRETT ANTHONY HILL
Title or Position: PHARMACY MANAGER
Credential:
Phone: 740-961-2858