Champion Discount Pharmacy
LBN: Champion Discount Pharmacy, Llc
Champion Discount Pharmacy is an health care organization with primary practice located at 4299 Mahoning Ave Nw , Warren OH 44483-1928. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Champion Discount Pharmacy, Llc can be contacted via phone (330) 306-9616, or through Ting, Edward via phone (330) 219-3005.
Contact Information
Primary practice address
4299 Mahoning Ave Nw
Warren OH 44483-1928
Phone: (330) 306-9616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1275906554 |
|---|---|
| LBN Legal business name | Champion Discount Pharmacy, Llc |
| DBA Doing business as | Champion Discount Pharmacy |
| Authorized official | Ting, Edward |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2015 |
| Last updated | Nov 17th, 2016 - about 8 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 | 1275906554 | NPPES |
| Ohio | MEDICAID | 0150213 | |
| Ohio | Other | 2154953 |
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