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Organization
DISCOUNT DRUG MART INC
Active
Organization
DISCOUNT DRUG MART INC
Active
Other names
Discount Drug Mart #88
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA S TAYLOR (PHARMACY COORDINATOR)
(330) 725-2340
Entity
Organization
Contact information
Practice address
7626 STATE ROUTE 45, LISBON, OH 44432-9394
(330) 870-1190
Mailing address
211 COMMERCE DR, MEDINA, OH 44256-1331
(330) 725-2340
(330) 764-4857
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88
STORE NUMBER
—
Enumeration date
06/24/2019
Last updated
06/24/2019
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