Healthcare Provider Details

I. General information

NPI: 1063648657
Provider Name (Legal Business Name): COMPLETE PHARMACY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 02/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9874 WINDISCH RD
WEST CHESTER OH
45069-3806
US

IV. Provider business mailing address

9874 WINDISCH RD
WEST CHESTER OH
45069-3806
US

V. Phone/Fax

Practice location:
  • Phone: 513-644-1600
  • Fax: 513-644-1580
Mailing address:
  • Phone: 513-644-1600
  • Fax: 513-644-1580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number021971800
License Number StateOH

VIII. Authorized Official

Name: THOMAS HAMMONS
Title or Position: MANAGER
Credential:
Phone: 513-644-1594