Healthcare Provider Details

I. General information

NPI: 1568144970
Provider Name (Legal Business Name): CENTERWELL PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9843 WINDISCH RD
WEST CHESTER OH
45069-3826
US

IV. Provider business mailing address

9843 WINDISCH RD
WEST CHESTER OH
45069-3826
US

V. Phone/Fax

Practice location:
  • Phone: 877-486-2668
  • Fax:
Mailing address:
  • Phone: 877-486-2668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SEAN LYSINGER
Title or Position: VP
Credential:
Phone: 502-580-2376