# KNOX COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KCH Northside Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073351557
- **Authorized official:** DANIELLE O'BRIEN (CFO)
- **Authorized official phone:** (740) 393-9138

## Contact information

- **Practice address:** 749 SANDUSKY STREET, MOUNT VERNON, OH 43050
- **Practice address phone:** (740) 393-9008
- **Mailing address:** 1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2024
- **Last updated:** 07/18/2024