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General NPI Number Information
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NPI Number | 1801589734
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Entity Type | Organization
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Legal Business Name | HICARE PHARMACY LLC
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 8769 N MAIN ST FL 1
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City | DAYTON
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State | OH
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Zip | 45415-1392
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Country | US
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Telephone | 937-723-6034
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Fax | 937-723-3641
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Provider Business Mailing Address
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Address Line | 4140 SALEM AVE STE 3
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City | DAYTON
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State | OH
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Zip | 45416-1703
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Country | US
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Telephone | 937-723-6034
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Fax | 937-723-6415
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Authorized Official
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Title or Position | CO- OWNER/PHARMACIST
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Name | DR. SAMUEL DWOMOH
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Credential | PHARMD
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Telephone | 513-223-9262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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