Coal Grove Pharmacy Inc
LBN: Coal Grove Pharmacy Inc
Coal Grove Pharmacy Inc is an health care organization with primary practice located at 600 Marion Pike , Ironton OH 45638-2963. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Coal Grove Pharmacy Inc can be contacted via phone (740) 533-2479, or through Plummer, Jason via phone (740) 533-2479.
Contact Information
Primary practice address
600 Marion Pike
Ironton OH 45638-2963
Phone: (740) 533-2479
Fax: (740) 533-2481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 021427050 | Ohio |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1992740427 |
|---|---|
| LBN Legal business name | Coal Grove Pharmacy Inc |
| DBA Doing business as | Coal Grove Pharmacy Inc |
| Authorized official | Plummer, Jason RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Mar 14th, 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 | 1992740427 | NPPES |
| Ohio | MEDICAID | 2615343 | |
| Ohio | MEDICAID | 54011481 | |
| Ohio | Other | 2080349 |
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