# COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC
- **Other names:** CAA PHARMACY: LISBON
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689484511
- **Legal business name:** COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC
- **Authorized official:** DAVID JOHN HUDOBA PHARMD (PHARMACY MANAGER)
- **Authorized official phone:** (330) 724-5471

## Contact information

- **Practice address:** 7880 LINCOLE PL, LISBON, OH 44432-8322
- **Practice address phone:** (330) 870-1145
- **Practice address fax:** (330) 870-0450
- **Mailing address:** 7880 LINCOLE PL, LISBON, OH 44432-8322

## Taxonomy

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

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 05/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0232000517 | OHIO BOARD OF PHARMACY LICENSE NUMBER | OH |