# PHARMACY COUNTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROMEDICA PHYSICIANS GROUP, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518478106
- **Legal business name:** PROMEDICA PHYSICIANS GROUP, INC.
- **Authorized official:** MISSY CROSS (GENERAL MANAGER)
- **Authorized official phone:** (419) 473-1473

## Contact information

- **Practice address:** 3303 TIFFIN AVE STE 2, SANDUSKY, OH 44870-9752
- **Practice address phone:** (419) 625-1256
- **Practice address fax:** (419) 621-4188
- **Mailing address:** 2655 W CENTRAL AVE, TOLEDO, OH 43606-3550
- **Mailing address phone:** (419) 473-1493
- **Mailing address fax:** (419) 474-7137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2017
- **Last updated:** 04/12/2018