PEMBERVILLE DRUG STORE LLC is a long term care pharmacy pharmacy in Pemberville, OH. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PEMBERVILLE DRUG STORE LLC NPI is 1184907115. The provider is registered as an organization entity type.
The provider's business location address is:
139 E FRONT ST # 897
PEMBERVILLE, OH
ZIP 43450-032
Phone: (419) 287-3238
Fax: (419) 287-2008
The provider's authorized official is Joseph Lee Baumgartner .
The authorized official title is Owner and has the following contact phone number (419) 287-3238.
The CLIA number assigned to this NPI record is 36D0993071 - ambulance with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/26/2011 and was last updated on 9/26/2011.