Dba East Main Street Pharmacy

LBN: Dba East Main Street Pharmacy
Dba East Main Street Pharmacy is an health care organization with primary practice located at 1336 E Main St , Columbus OH 43205-2081. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Dba East Main Street Pharmacy can be contacted via phone (614) 252-1998, or through Fletcher, Harold Eugene via phone (614) 252-1998.

Contact Information

Primary practice address
1336 E Main St Columbus OH 43205-2081
Phone: (614) 252-1998
Fax: (614) 252-3910
Website:
Map and Directions
Authorized official contact:
Name: Fletcher, Harold Eugene RPH
Phone: (614) 252-1998

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 021074900 Ohio

Profile Details

NPI number 1457399131
LBN Legal business name Dba East Main Street Pharmacy
DBA Doing business as
Authorized official Fletcher, Harold Eugene RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Mar 7th, 2023 - about last year

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 1457399131 NPPES
Ohio Other 021074900 STATE PHARMACY LICENSE NUMBER
Ohio Other 3665582 STATE PHARMACY LICENSE NUMBER
Ohio MEDICAID 2059356 STATE PHARMACY LICENSE NUMBER

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