Provider Demographics
NPI:1629481296
Name:IHS PHARMACY AND WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:IHS PHARMACY AND WELLNESS CENTER LLC
Other - Org Name:IHS PHARMACY & WELLNESS CENTER-READING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:BSPH
Authorized Official - Phone:513-257-5309
Mailing Address - Street 1:9400 READING RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-3401
Mailing Address - Country:US
Mailing Address - Phone:513-769-3784
Mailing Address - Fax:513-769-5400
Practice Address - Street 1:9400 READING RD STE 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-3436
Practice Address - Country:US
Practice Address - Phone:513-769-3784
Practice Address - Fax:513-769-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336L0003X
OH0223745003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2146229OtherPK
OH0108724Medicaid