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Organization
THIRD STREET COMMUNITY CLINIC, INC
Active
Organization
THIRD STREET COMMUNITY CLINIC, INC
Active
Parent organization
THIRD STREET COMMUNITY CLINIC, INC
Other names
Third Street Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THIRD STREET COMMUNITY CLINIC, INC
Authorized official
PEGGY ANDERSON (CEO)
(419) 526-7880
Entity
Organization
Contact information
Practice address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 525-6723
Mailing address
1404 PARK AVE W, STE 2, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 525-6723
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
3336M0003X
Managed Care Organization Pharmacy
—
NULL
Other
Enumeration date
06/16/2022
Last updated
08/13/2026
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