MARY RUTAN INDIAN LAKE PHARMACY – Community/Retail Pharmacy, NPI 1790665172

MARY RUTAN INDIAN LAKE PHARMACY is a healthcare provider. based in Bellefontaine, Ohio. specializing in Community/Retail Pharmacy. The NPI Number for MARY RUTAN INDIAN LAKE PHARMACY is 1790665172

Main info

Organization
Name
MARY RUTAN INDIAN LAKE PHARMACY
NPI
1790665172
Phone
(937) 292-5024
Address
205 E PALMER RD
Authorized Official
CHRISTINA MYERS COO
Enumeration Date
5 September 2025
Last Update Date
19 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience20
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for MARY RUTAN INDIAN LAKE PHARMACY

  • 205 E PALMER RD

    BELLEFONTAINE, OH 433112281

    Phone: (937) 292-5024

    Fax: (937) 292-3576

    Type: Mailing

  • 120 W MAIN ST

    RUSSELLS POINT, OH 433487500

    Phone: (937) 292-5024

    Fax: (937) 292-3576

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43311)

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Reviews

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Frequently asked questions

Can I verify MARY RUTAN INDIAN LAKE PHARMACY with an NPI only?
You can start verification with NPI 1790665172 for MARY RUTAN INDIAN LAKE PHARMACY, then check state licensing separately.
Is MARY RUTAN INDIAN LAKE PHARMACY still practicing?
MARY RUTAN INDIAN LAKE PHARMACY is currently listed as active in the public NPI registry.
What healthcare role does MARY RUTAN INDIAN LAKE PHARMACY hold?
Scheduling teams often label MARY RUTAN INDIAN LAKE PHARMACY under Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What area does MARY RUTAN INDIAN LAKE PHARMACY serve?
MARY RUTAN INDIAN LAKE PHARMACY's listing highlights Bellefontaine, Ohio; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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