# COAL GROVE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386390276
- **Authorized official:** JASON MICHAEL PLUMMER (OWNER/PHARMACIST)
- **Authorized official phone:** (740) 533-2479

## Contact information

- **Practice address:** 600 MARION PIKE, COAL GROVE, OH 45638-2963
- **Practice address phone:** (740) 533-2479
- **Mailing address:** 600 MARION PIKE, COAL GROVE, OH 45638-2963
- **Mailing address phone:** (740) 533-2479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2022
- **Last updated:** 03/01/2022