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PHARMACEUTICAL SYNERGY INC NPI 1104981521


NPI Information

NPI: 1104981521
Provider Name: PHARMACEUTICAL SYNERGY INC

Doing Business As: DAVES PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 36D1017849

Address:
411 W 5TH ST
MARYSVILLE, OH
ZIP 43040
Phone: (937) 644-1322
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PHARMACEUTICAL SYNERGY INC is a community/retail pharmacy pharmacy in Marysville, 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. PHARMACEUTICAL SYNERGY INC NPI is 1104981521. The provider is registered as an organization entity type.
The provider Is Doing Business As Daves Pharmacy.

The provider's business location address is:

411 W 5TH ST
MARYSVILLE, OH
ZIP 43040-019
Phone: (937) 644-1322
Fax: (937) 644-2360

The provider's authorized official is David Burke .
The authorized official title is Owner and has the following contact phone number (937) 644-1322.

The CLIA number assigned to this NPI record is 36D1017849 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 2/20/2017.


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
23336C0003XPharmacyCommunity/Retail PharmacyRTP.021015150-03OHIOYes
33336C0004XPharmacyCompounding PharmacyNo

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
12074817OTHERPK
22019621AMEDICAIDOHIO
31187030001MEDICARE NSC

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: 4/28/2024

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