Mary Rutan Indian Lake Pharmacy
NPI #1790665172 in Russells Point, Ohio
Provider Information
- NPI Number
- 1790665172
- Entity Type
- Organization
- Organization Name
- Mary Rutan Indian Lake Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 5, 2025
- Last Updated
- Dec 19, 2025
Practice Location
- Address
- 120 W MAIN ST
- City
- Russells Point
- State
- Ohio
- ZIP Code
- 43348-7500
- Phone
- (937) 292-5024
Authorized Official
- Name
- CHRISTINA MYERS
- Title
- COO
- Phone
- (937) 599-7034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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