# CHURCHILLS PERRYSBURG LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Walt Churchill's Market
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265595888
- **Authorized official:** KIMBERLY JOHNSON RPH (PHARMACY MANAGER,PIC,AO)
- **Authorized official phone:** (419) 872-6904

## Contact information

- **Practice address:** 26625 DIXIE HWY, PERRYSBURG, OH 43551-1712
- **Practice address phone:** (419) 872-6904
- **Practice address fax:** (419) 872-6917
- **Mailing address:** 26625 DIXIE HWY, PERRYSBURG, OH 43551-1712
- **Mailing address phone:** (419) 872-6904
- **Mailing address fax:** (419) 872-6917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 021949950 | OH | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 01/18/2017