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Organization
GENTRY HEALTH SERVICES INC
Active
Organization
GENTRY HEALTH SERVICES INC
Active
Other names
DISCOUNT DRUG MART
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TAYLOR (PHARMACY COORDINATOR)
(330) 725-2340
Entity
Organization
Contact information
Practice address
33381 WALKER RD STE A, AVON LAKE, OH 44012-1463
(216) 750-4038
(440) 848-8595
Mailing address
33381 WALKER RD STE A, AVON LAKE, OH 44012-1463
(216) 750-4038
(440) 848-8595
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
02287360003
OH
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176757
PK
—
Enumeration date
03/28/2018
Last updated
07/19/2018
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