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CHAMPION DISCOUNT PHARMACY LLC NPI 1275906554


NPI Information

NPI: 1275906554
Provider Name: CHAMPION DISCOUNT PHARMACY, LLC

Doing Business As: CHAMPION DISCOUNT PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
4299 MAHONING AVE NW
WARREN, OH
ZIP 44483
Phone: (330) 306-9616
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CHAMPION DISCOUNT PHARMACY, LLC is a community/retail pharmacy pharmacy in Warren, OH. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CHAMPION DISCOUNT PHARMACY, LLC NPI is 1275906554. The provider is registered as an organization entity type.
The provider Is Doing Business As Champion Discount Pharmacy.

The provider's business location address is:

4299 MAHONING AVE NW
WARREN, OH
ZIP 44483-928
Phone: (330) 306-9616

The provider's authorized official is Edward Ting .
The authorized official title is Member, Llc and has the following contact phone number (330) 219-3005.

The enumeration date for this NPI number is 11/9/2015 and was last updated on 11/17/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17554710001MEDICARE NSCOHIO
22154953OTHERPK
30150213MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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