# KAISER COMMUNITY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaiser Community Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699127357
- **Authorized official:** GEORGE ELMER (VP)
- **Authorized official phone:** (419) 668-8101

## Contact information

- **Practice address:** 251 BENEDICT AVE, NORWALK, OH 44857-2346
- **Practice address phone:** (419) 668-1078
- **Practice address fax:** (419) 663-5837
- **Mailing address:** 251 BENEDICT AVE, NORWALK, OH 44857-2346
- **Mailing address phone:** (419) 668-1078
- **Mailing address fax:** (419) 663-5837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | PMY.022651150-03 | OH | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/06/2016
- **Last updated:** 03/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2162323 | PK | — |