Overholts Champion Pharmacy Inc.

LBN: Overholts Champion Pharmacy Inc.
Overholts Champion Pharmacy Inc. is an health care organization with primary practice located at 4619 Mahoning Ave. , Warren OH 44483. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Overholts Champion Pharmacy Inc. can be contacted via phone (330) 847-8000, or through Overholt, Kenneth Marshall via phone (330) 847-8000.

Contact Information

Primary practice address
4619 Mahoning Ave. Warren OH 44483
Phone: (330) 847-8000
Fax: (330) 847-7708
Website:
Map and Directions
Authorized official contact:
Name: Overholt, Kenneth Marshall RPH
Phone: (330) 847-8000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 02649200 Ohio

Profile Details

NPI number 1730273491
LBN Legal business name Overholts Champion Pharmacy Inc.
DBA Doing business as
Authorized official Overholt, Kenneth Marshall RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1730273491 NPPES
Ohio MEDICAID 0827118

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