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Third Street Community Clinic, Inc.
Clinic Pharmacy in Mansfield, Ohio
NPI 1336252519

Third Street Community Clinic, Inc. is a Clinic Pharmacy based in Mansfield, OH and is specialized in Clinic Pharmacy. Third Street Community Clinic, Inc. practices in Mansfield, OH. The NPI Number for Third Street Community Clinic, Inc. is 1336252519 and holds a License No. (Ohio).

The current practice location address for Third Street Community Clinic, Inc. is 600 W. Third Street, Mansfield, OH and can be reached out via phone at 419-522-6191 and via fax at 419-526-7939.

Location: 600 W. Third Street, Mansfield, OH, 44906-2633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336252519
Provider Name
Third Street Community Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
600 W. Third Street, Mansfield, OH, 44906-2633
Phone Number
419-522-6191
Fax Number
419-526-7939
Provider Enumeration Date
08/15/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2069452 05 OH
institution
Provider Business Practice Location Address Details
Address
600 W. Third Street
City
Mansfield
State
Ohio
Zip
44906-2633
Phone Number
419-522-6191
Fax Number
419-526-7939
person
Provider Business Mailing Address Details
Address
600 W. Third Street
City
Mansfield
State
Ohio
Zip
44906-2633
Phone Number
419-522-6191
Fax Number
419-526-7939
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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