# COLUMBUS PRESCRIPTION WEST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COLUMBUS PRESCRIPTION WEST LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679576466
- **Authorized official:** JARROD GROSSMAN RPL PHARMD (CHIEF PHARMACIST)
- **Authorized official phone:** (614) 351-0062

## Contact information

- **Practice address:** 2849 W BROAD ST, COLUMBUS, OH 43204-2643
- **Practice address phone:** (614) 351-0062
- **Practice address fax:** (614) 351-0358
- **Mailing address:** 2849 W BROAD ST, COLUMBUS, OH 43204-2643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | OH | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 03/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2503633 | — | OH |
| 01 | — | 3672931 | OTHER ID NUMBER | — |