# GENTRY HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DISCOUNT DRUG MART
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073018438
- **Authorized official:** LAURA TAYLOR (PHARMACY COORDINATOR)
- **Authorized official phone:** (330) 725-2340

## Contact information

- **Practice address:** 33381 WALKER RD STE A, AVON LAKE, OH 44012-1463
- **Practice address phone:** (216) 750-4038
- **Practice address fax:** (440) 848-8595
- **Mailing address:** 33381 WALKER RD STE A, AVON LAKE, OH 44012-1463
- **Mailing address phone:** (216) 750-4038
- **Mailing address fax:** (440) 848-8595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 02287360003 | OH | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/28/2018
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2176757 | PK | — |