Apotheke Inc
May also be knows as The Vintage Pharmacy
Community/Retail Pharmacy in Vermilion, OH(View on Map)
Legal Business Name
Apotheke Inc
Also Known As
The Vintage Pharmacy
NPI Number
1669577425
NPI Type
Organization
Enumeration Date
09/14/2006
Specialties
(Taxonomies)Code
3336C0003X
3336C0004X
332B00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Ohio
License Number
021800200
Contact
Information
Purpose
Mailing
Location
Address
1605 STATE ROUTE 60
1605 STATE ROUTE 60
City
Vermilion
Vermilion
State
OH
OH
Postal Code
44089
44089
Country
US
US
Telephone Number
(440) 967-3100
(440) 967-3100
Authorized Official
Name
Kimberly Ickes
Title or Position
OWNER
Telephone Number
(440) 963-7760
Identifiers
Identifier
0624677
3644956
Identifier State
OH
Unknown
Identifier Issuer
Unknown
NCPDP PROVIDER IDENTIFICATION NUMBER
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/05/2011
Provider Address
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