Provider Demographics
NPI:1851004618
Name:STERLING COMMUNITY PHARMACY
Entity Type:Organization
Organization Name:STERLING COMMUNITY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASOMANI-AMOAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM-D
Authorized Official - Phone:937-568-6811
Mailing Address - Street 1:129 W KEMPER RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2511
Mailing Address - Country:US
Mailing Address - Phone:513-954-0112
Mailing Address - Fax:
Practice Address - Street 1:129 W KEMPER RD
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-2511
Practice Address - Country:US
Practice Address - Phone:513-954-0112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000000Medicaid