Provider Demographics
NPI:1659142784
Name:ST. VINCENT DE PAUL CHARITABLE PHARMACY - MILFORD
Entity Type:Organization
Organization Name:ST. VINCENT DE PAUL CHARITABLE PHARMACY - MILFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF PHARMACY
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CURINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:513-762-2088
Mailing Address - Street 1:813 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1725
Mailing Address - Country:US
Mailing Address - Phone:513-562-8841
Mailing Address - Fax:513-345-1779
Practice Address - Street 1:813 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1725
Practice Address - Country:US
Practice Address - Phone:513-562-8841
Practice Address - Fax:513-345-1779
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. VINCENT DE PAUL CHARITABLE PHARMACY - NEYER OUTREACH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care