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Organization
CENTER STREET COMMUNITY CLINIC, INC
Active
Organization
CENTER STREET COMMUNITY CLINIC, INC
Active
Other names
Center Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY COBB (CFO)
(740) 914-4372
Entity
Organization
Contact information
Practice address
136 W CENTER ST, MARION, OH 43302-3704
(740) 914-4371
(740) 914-4372
Mailing address
136 W CENTER ST, MARION, OH 43302-3704
(740) 914-4371
(409) 144-3727
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
05/11/2022
Last updated
04/13/2023
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