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Organization
CHURCHILLS PERRYSBURG LTD
Active
Organization
CHURCHILLS PERRYSBURG LTD
Active
Other names
Walt Churchill's Market
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JOHNSON RPH (PHARMACY MANAGER,PIC,AO)
(419) 872-6904
Entity
Organization
Contact information
Practice address
26625 DIXIE HWY, PERRYSBURG, OH 43551-1712
(419) 872-6904
(419) 872-6917
Mailing address
26625 DIXIE HWY, PERRYSBURG, OH 43551-1712
(419) 872-6904
(419) 872-6917
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
021949950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051914
—
OH
01
—
2119661
PK
—
Enumeration date
12/18/2006
Last updated
01/18/2017
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