Organization · Type 2 NPI

Mary Rutan Indian Lake Pharmacy

Community/Retail Pharmacy · Russells Point, OH

NPI number 1790665172 Active

Practice location

120 W Main St
Russells Point, OH 43348-7500

Fax (937) 292-3576

Mailing address

205 E Palmer Rd
Bellefontaine, OH 43311-2281

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003XNone listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

3 other providers at this address

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About NPI 1790665172

Mary Rutan Indian Lake Pharmacy's National Provider Identifier is 1790665172, issued on Sep 5, 2025. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Russells Point, OH. The record was last updated on Dec 19, 2025.