Mediserv Duxberry Pharmacy

LBN: Mediserv Duxberry Phcy Inc
Mediserv Duxberry Pharmacy is an health care organization with primary practice located at 2052 Cleveland Ave , Columbus OH 43211-2216. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Mediserv Duxberry Phcy Inc can be contacted via phone (614) 294-0426, or through Hammond, Tracy via phone (614) 481-4272.

Contact Information

Primary practice address
2052 Cleveland Ave Columbus OH 43211-2216
Phone: (614) 294-0426
Fax: (614) 481-4272
Website:
Map and Directions
Authorized official contact:
Name: Hammond, Tracy
Phone: (614) 481-4272

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X Ohio

Profile Details

NPI number 1104904614
LBN Legal business name Mediserv Duxberry Phcy Inc
DBA Doing business as Mediserv Duxberry Pharmacy
Authorized official Hammond, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1104904614 NPPES
Ohio MEDICAID 2051872
Ohio Other 3665001

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