# HURSH DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hursh Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659457422
- **Authorized official:** MR. ROBERT HARLEY KNOWLTON RPH (PRESIDENT)
- **Authorized official phone:** (419) 524-0521

## Contact information

- **Practice address:** 90 N DIAMOND ST, MANSFIELD, OH 44902-1325
- **Practice address phone:** (419) 524-0521
- **Practice address fax:** (419) 524-3892
- **Mailing address:** 90 N DIAMOND ST, MANSFIELD, OH 44902-1325
- **Mailing address phone:** (419) 524-0521
- **Mailing address fax:** (419) 524-3892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 02-0091500 | OH | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 10/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000155317 | ANTHEM BC/BS | OH |
| 01 | — | 06069 | PARAMONT | OH |
| 01 | — | 3622746 | NABP\# | OH |
| 05 | — | 4196507 | — | OH |