Stadium Pharmacy
LBN: Apotheke Inc
Stadium Pharmacy is an health care organization with primary practice located at 2205 Hayes Ave , Sandusky OH 44870-4705. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Apotheke Inc can be contacted via phone (419) 626-1103, or through Ickes, Kimberly via phone (440) 967-3100.
Contact Information
Primary practice address
2205 Hayes Ave
Sandusky OH 44870-4705
Phone: (419) 626-1103
Fax: (419) 626-1244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | RTP021800250 | Ohio |
Profile Details
| NPI number | 1801807441 |
|---|---|
| LBN Legal business name | Apotheke Inc |
| DBA Doing business as | Stadium Pharmacy |
| Authorized official | Ickes, Kimberly RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Dec 12th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801807441 | NPPES |
| Other | 2075484 | PK | |
| MEDICAID | 3653148 | PK |
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