Chief Pharmacy And Wellness Center

LBN: Chief Super Market Inc
Chief Pharmacy And Wellness Center is an health care organization with primary practice located at 705 Deatrick St , Defiance OH 43512-2785. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Chief Super Market Inc can be contacted via phone (419) 784-0088, or through Stafford, Theresa via phone (419) 782-0950.

Contact Information

Primary practice address
705 Deatrick St Defiance OH 43512-2785
Fax: (419) 784-2273
Website:
Authorized official contact:
Name: Stafford, Theresa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021695800 Ohio

Profile Details

NPI number 1851485148
LBN Legal business name Chief Super Market Inc
DBA Doing business as Chief Pharmacy And Wellness Center
Authorized official Stafford, Theresa
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 25th, 2012 - about 13 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 1851485148 NPPES
Other 3668641 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 2737480 NCPDP PROVIDER IDENTIFICATION NUMBER

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