The Ohio State University Outpatient Pharmacy At The Ccct

LBN: Ohio State University Outpatient Pharmacy
The Ohio State University Outpatient Pharmacy At The Ccct is an health care organization with primary practice located at 460 W 10Th Ave Rm L012 , Columbus OH 43210-1240. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ohio State University Outpatient Pharmacy can be contacted via phone (614) 293-5920, or through Delisle, Dennis R via phone (614) 293-9806.

Contact Information

Primary practice address
460 W 10Th Ave Rm L012 Columbus OH 43210-1240
Phone: (614) 293-5920
Fax: (614) 366-0097
Website:
Map and Directions
Authorized official contact:
Name: Delisle, Dennis R SC.D, FACHE
Phone: (614) 293-9806

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 22593850 Ohio
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1235596990
LBN Legal business name Ohio State University Outpatient Pharmacy
DBA Doing business as The Ohio State University Outpatient Pharmacy At The Ccct
Authorized official Delisle, Dennis R SC.D, FACHE
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2016
Last updated May 18th, 2023 - about 2 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 1235596990 NPPES
Other 2158015 PK
MEDICAID 0200894 PK

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