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Organization
KAISER COMMUNITY PHARMACY LLC
Active
Organization
KAISER COMMUNITY PHARMACY LLC
Active
Other names
Kaiser Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ELMER (VP)
(419) 668-8101
Entity
Organization
Contact information
Practice address
251 BENEDICT AVE, NORWALK, OH 44857-2346
(419) 668-1078
(419) 663-5837
Mailing address
251 BENEDICT AVE, NORWALK, OH 44857-2346
(419) 668-1078
(419) 663-5837
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
Primary
PMY.022651150-03
OH
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162323
PK
—
Enumeration date
07/06/2016
Last updated
03/06/2017
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