Tuckers Ottawa Pharmacy

LBN: Klass Apothecary Inc
Tuckers Ottawa Pharmacy is an health care organization with primary practice located at 1831 E Main St , Ottawa OH 45875-1649. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Klass Apothecary Inc can be contacted via phone (419) 523-6122, or through Klass, Roy via phone (937) 477-9653.

Contact Information

Primary practice address
1831 E Main St Ottawa OH 45875-1649
Phone: (419) 523-6122
Fax: (419) 523-6228
Website:
Map and Directions
Authorized official contact:
Name: Klass, Roy BS,RPH
Phone: (937) 477-9653

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021756100 Ohio
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1790754653
LBN Legal business name Klass Apothecary Inc
DBA Doing business as Tuckers Ottawa Pharmacy
Authorized official Klass, Roy BS,RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 16th, 2016 - about 10 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 1790754653 NPPES
Other 2075405 PK
MEDICAID 2780987 PK

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