# FAMILY MED-MART LLC

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

## Provider details

- **NPI number:** 1073822870
- **Authorized official:** YAMROTE LAKEW (MANAGING MEMBER/AGENT)
- **Authorized official phone:** (614) 598-3001

## Contact information

- **Practice address:** 4770 INDIANOLA AVE STE 208, COLUMBUS, OH 43214-1876
- **Practice address phone:** (614) 547-7766
- **Practice address fax:** (614) 547-7742
- **Mailing address:** 2833 BRYN MAWR DR, LEWIS CENTER, OH 43035-8915
- **Mailing address phone:** (614) 598-3001
- **Mailing address fax:** (614) 547-7742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 022659650 | OH | Yes |

## Other

- **Enumeration date:** 09/28/2010
- **Last updated:** 03/29/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2127361 | PK | — |
| 05 | — | 3090542 | — | OH |