Healthcare Provider Details

I. General information

NPI: 1538170170
Provider Name (Legal Business Name): STEUBENVILLE PHARMACY SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WELDAY AVE STE B
WINTERSVILLE OH
43953-3779
US

IV. Provider business mailing address

100 WELDAY AVE STE B
WINTERSVILLE OH
43953-3779
US

V. Phone/Fax

Practice location:
  • Phone: 740-284-1810
  • Fax: 740-284-1814
Mailing address:
  • Phone: 740-284-1810
  • Fax: 740-284-1814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number021021850
License Number StateOH

VIII. Authorized Official

Name: TERRY REED
Title or Position: CHIEF OPER OFFICER
Credential:
Phone: 740-284-1810