OrganizationActive
Licking Memorial Health Systems
NPI 1073724522 · Specialty Pharmacy · Newark, OH
Provider details
- NPI number
- 1073724522
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Robert Montagnese, Ceo President(740) 348-4000
- License
- 02-1095050 (OH)
Specialties & taxonomies
Suppliers
Practice location
1320 W Main St
Newark, OH 43055-1822
Phone: (220) 564-4545
Fax: (220) 564-4546
Approximate (ZIP-level) locationGet directions
Mailing address
1320 W Main St
Newark, OH 43055-1822
Other names (DBA / former)
- Other name
- Licking Memorial Pharmacy
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.