Fillmore Pharmacy

LBN: Donald C Fillmore
Fillmore Pharmacy is an health care organization with primary practice located at 119 S Sycamore Ave , Sycamore OH 44882-0107. 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. Donald C Fillmore can be contacted via phone (419) 927-2691, or through Fillmore, Donald via phone (419) 927-2691.

Contact Information

Primary practice address
119 S Sycamore Ave Sycamore OH 44882-0107
Phone: (419) 927-2691
Fax: (419) 927-2681
Website:
Map and Directions
Authorized official contact:
Name: Fillmore, Donald RPH
Phone: (419) 927-2691

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RTP02179150 Ohio

Profile Details

NPI number 1417015538
LBN Legal business name Donald C Fillmore
DBA Doing business as Fillmore Pharmacy
Authorized official Fillmore, Donald RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Dec 28th, 2010 - about 16 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 1417015538 NPPES
Other 3638826 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 0479496 NCPDP PROVIDER IDENTIFICATION NUMBER

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