Walt Churchill'S Market

LBN: Churchills Perrysburg Ltd
Walt Churchill'S Market is an health care organization with primary practice located at 26625 Dixie Hwy , Perrysburg OH 43551-1712. 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. Churchills Perrysburg Ltd can be contacted via phone (419) 872-6904, or through Johnson, Kimberly via phone (419) 872-6904.

Contact Information

Primary practice address
26625 Dixie Hwy Perrysburg OH 43551-1712
Phone: (419) 872-6904
Fax: (419) 872-6917
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Kimberly RPH
Phone: (419) 872-6904

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021949950 Ohio

Profile Details

NPI number 1265595888
LBN Legal business name Churchills Perrysburg Ltd
DBA Doing business as Walt Churchill'S Market
Authorized official Johnson, Kimberly RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Jan 18th, 2017 - about 7 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 1265595888 NPPES
Ohio MEDICAID 0051914
Ohio Other 2119661

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