Organization · Type 2 NPI
Pemberville Drug Store LLC
Long Term Care Pharmacy · Pemberville, OH
NPI number
1184907115
Active
Practice location
139 E Front St # 897
Pemberville, OH 43450-7032
Fax (419) 287-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long Term Care Pharmacy Primary | 3336L0003X | 022122100 (OH) |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
About NPI 1184907115
Pemberville Drug Store LLC's National Provider Identifier is 1184907115, issued on Sep 26, 2011. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Pemberville, OH. The record was last updated on Sep 26, 2011.