# THIRD STREET COMMUNITY CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THIRD STREET COMMUNITY CLINIC INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376447516
- **Legal business name:** THIRD STREET COMMUNITY CLINIC INC
- **Authorized official:** JASON BILYJ (PHARMACY DIRECTOR)
- **Authorized official phone:** (419) 522-6191

## Contact information

- **Practice address:** 370 CLINE AVE STE 1, MANSFIELD, OH 44907-1057
- **Practice address phone:** (419) 522-6191
- **Mailing address:** 1404 PARK AVE W STE 2, ONTARIO, OH 44906-2719
- **Mailing address phone:** (330) 967-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/02/2026
- **Last updated:** 10/14/2026