MEDISERV DUXBERRY PHCY INC NPI 1104904614

NPI Information

MEDISERV DUXBERRY PHCY INC is a clinic pharmacy pharmacy in Columbus, OH. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MEDISERV DUXBERRY PHCY INC NPI is 1104904614. The provider is registered as an organization entity type.
The provider Is Doing Business As Mediserv Duxberry Pharmacy.

The provider's business location address is:

2052 CLEVELAND AVE
COLUMBUS, OH
ZIP 43211-216
Phone: (614) 294-0426
Fax: (614) 481-4272

The provider's authorized official is Tracy Hammond .
The authorized official title is Third Party Admin and has the following contact phone number (614) 481-4272.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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