Promedica Outpatient Pharmacy

LBN: Promedica Pharmacy Group Llc
Promedica Outpatient Pharmacy is an health care organization with primary practice located at 2142 N Cove Blvd , Toledo OH 43606-3895. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Promedica Pharmacy Group Llc can be contacted via phone (419) 291-5418, or through Coehrs, Bryan Joseph via phone (419) 291-4496.

Contact Information

Primary practice address
2142 N Cove Blvd Toledo OH 43606-3895
Phone: (419) 291-5418
Fax: (419) 479-6927
Website:
Map and Directions
Authorized official contact:
Name: Coehrs, Bryan Joseph PHARMD RPH
Phone: (419) 291-4496

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 020541450 Ohio
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1740217678
LBN Legal business name Promedica Pharmacy Group Llc
DBA Doing business as Promedica Outpatient Pharmacy
Authorized official Coehrs, Bryan Joseph PHARMD RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 27th, 2006
Last updated Apr 14th, 2021 - about 3 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 1740217678 NPPES
Ohio MEDICAID 0719468
Ohio Other 3643928

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