# DONALD C FILLMORE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FILLMORE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417015538
- **Authorized official:** DONALD FILLMORE RPH (OWNER AND PHARM)
- **Authorized official phone:** (419) 927-2691

## Contact information

- **Practice address:** 119 S SYCAMORE AVE, SYCAMORE, OH 44882-0107
- **Practice address phone:** (419) 927-2691
- **Practice address fax:** (419) 927-2681
- **Mailing address:** PO BOX 107, SYCAMORE, OH 44882-0107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RTP02179150 | OH | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 12/28/2010