| NPI | 1083964787 |
|---|---|
| Doing Business As | HEARTLAND PHARMACY 2 LLC |
| Entity Type | Organization |
| Authorized Contact | KINDY GHUSSIN O Wner 937-829-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 022243550) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2015-02-25 |