Promedica Specialty Pharmacy

LBN: Promedica Pharmacy Group Llc
Promedica Specialty Pharmacy is an health care organization with primary practice located at 3142 W Central Ave , Toledo OH 43606-2920. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Promedica Pharmacy Group Llc can be contacted via phone (419) 291-4496, or through Coehrs, Bryan Joseph via phone (419) 291-4496.

Contact Information

Primary practice address
3142 W Central Ave Toledo OH 43606-2920
Phone: (419) 291-4496
Fax: (419) 214-4350
Website:
Map and Directions
Authorized official contact:
Name: Coehrs, Bryan Joseph PHARMD RPH
Phone: (419) 291-4496

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 022354350 Ohio

Profile Details

NPI number 1609204767
LBN Legal business name Promedica Pharmacy Group Llc
DBA Doing business as Promedica Specialty Pharmacy
Authorized official Coehrs, Bryan Joseph PHARMD RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 28th, 2013
Last updated Apr 4th, 2022 - about 4 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 1609204767 NPPES
Ohio MEDICAID 0103343
Ohio Other 3681586

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