<Unavail>

LBN: Cornells Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 140 Mansfield Ave , Shelby OH 44875-1833. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cornells Pharmacy Llc can be contacted via phone (419) 347-2033, or through Triska, Marcia via phone (419) 374-2033.

Contact Information

Primary practice address
140 Mansfield Ave Shelby OH 44875-1833
Phone: (419) 347-2033
Fax: (419) 347-2053
Website:
Map and Directions
Authorized official contact:
Name: Triska, Marcia RPH
Phone: (419) 374-2033

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021274650 Ohio

Profile Details

NPI number 1023014255
LBN Legal business name Cornells Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Triska, Marcia RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023014255 NPPES
Other 3669554 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 2256320 NCPDP PROVIDER IDENTIFICATION NUMBER

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