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Organization
KNOX COMMUNITY HOSPITAL
Active
Organization
KNOX COMMUNITY HOSPITAL
Active
Other names
KCH Eastside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE O'BRIEN (CFO)
(740) 393-9138
Entity
Organization
Contact information
Practice address
1451 YAUGER RD, MOUNT VERNON, OH 43050-8097
(740) 397-1420
(740) 397-2454
Mailing address
1451 YAUGER RD, MOUNT VERNON, OH 43050-8097
(740) 397-1420
(740) 397-2454
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2640351
—
OH
Enumeration date
06/25/2019
Last updated
09/11/2024
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