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Pemberville Drug Store Llc
Long Term Care Pharmacy in Pemberville, Ohio
NPI 1184907115

Pemberville Drug Store Llc is a Long Term Care Pharmacy based in Pemberville, OH and is specialized in Long Term Care Pharmacy. Pemberville Drug Store Llc practices in Pemberville, OH. The NPI Number for Pemberville Drug Store Llc is 1184907115 and holds a License No. 022122100 (Ohio).

The current practice location address for Pemberville Drug Store Llc is 139 E Front St # 897, Pemberville, OH and can be reached out via phone at 419-287-3238 and via fax at 419-287-2008.

Location: 139 E Front St # 897, Pemberville, OH, 43450-7032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184907115
Provider Name
Pemberville Drug Store Llc
Credential
Provider Entity Type
Organization
Address
139 E Front St # 897, Pemberville, OH, 43450-7032
Phone Number
419-287-3238
Fax Number
419-287-2008
Provider Enumeration Date
09/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2010620 05 OH
institution
Provider Business Practice Location Address Details
Address
139 E Front St # 897
City
Pemberville
State
Ohio
Zip
43450-7032
Phone Number
419-287-3238
Fax Number
419-287-2008
person
Provider Business Mailing Address Details
Address
139 E Front St # 897
City
Pemberville
State
Ohio
Zip
43450-7032
Phone Number
419-287-3238
Fax Number
419-287-2008
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
022122100 (Ohio)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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