# KNOX COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KCH Eastside Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629639281
- **Authorized official:** DANIELLE O'BRIEN (CFO)
- **Authorized official phone:** (740) 393-9138

## Contact information

- **Practice address:** 1451 YAUGER RD, MOUNT VERNON, OH 43050-8097
- **Practice address phone:** (740) 397-1420
- **Practice address fax:** (740) 397-2454
- **Mailing address:** 1451 YAUGER RD, MOUNT VERNON, OH 43050-8097
- **Mailing address phone:** (740) 397-1420
- **Mailing address fax:** (740) 397-2454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2019
- **Last updated:** 09/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2640351 | — | OH |