Medicine Center Pharmacy

LBN: Hys Health Mart Inc
Medicine Center Pharmacy is an health care organization with primary practice located at 403 Cleveland St , Elyria OH 44035-6143. 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. Hys Health Mart Inc can be contacted via phone (440) 366-1035, or through Salouha, Sam via phone (440) 366-1035.

Contact Information

Primary practice address
403 Cleveland St Elyria OH 44035-6143
Phone: (440) 366-1035
Fax: (440) 366-0028
Website:
Map and Directions
Authorized official contact:
Name: Salouha, Sam RPH
Phone: (440) 366-1035

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RTP.022177550 Ohio

Profile Details

NPI number 1134497175
LBN Legal business name Hys Health Mart Inc
DBA Doing business as Medicine Center Pharmacy
Authorized official Salouha, Sam RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2011
Last updated Dec 6th, 2013 - about 11 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 1134497175 NPPES
Ohio MEDICAID 0063260
Ohio Other 2132941

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