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Organization
HURSH DRUG INC
Active
Organization
HURSH DRUG INC
Active
Other names
Hursh Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HARLEY KNOWLTON RPH (PRESIDENT)
(419) 524-0521
Entity
Organization
Contact information
Practice address
90 N DIAMOND ST, MANSFIELD, OH 44902-1325
(419) 524-0521
(419) 524-3892
Mailing address
90 N DIAMOND ST, MANSFIELD, OH 44902-1325
(419) 524-0521
(419) 524-3892
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
02-0091500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155317
ANTHEM BC/BS
OH
01
—
06069
PARAMONT
OH
01
—
3622746
NABP#
OH
05
—
4196507
—
OH
Enumeration date
10/27/2006
Last updated
10/07/2010
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