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Organization
ASHTABULA COUNTY MEDICAL CENTER
Active
Organization
ASHTABULA COUNTY MEDICAL CENTER
Active
Other names
ACMC HEALTHCARE SYSTEM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY SHICK PHARMD (DIRECTOR OF PHARMACY)
(440) 997-6276
Entity
Organization
Contact information
Practice address
2420 LAKE AVE, PHARMACY DEPARTMENT, ASHTABULA, OH 44004-4954
(440) 997-6276
(440) 997-6679
Mailing address
2420 LAKE AVE, PHARMACY DEPARTMENT, ASHTABULA, OH 44004-4954
(440) 997-6276
(440) 997-6679
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
HOS.020040800-03
OH
3336I0012X
Institutional Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117272
—
OH
05
—
0289343
—
OH
01
—
2074026
PK
—
Enumeration date
09/30/2014
Last updated
02/02/2022
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