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Organization
IDEAL MEDICAL SUPPLY INC
Active
Organization
IDEAL MEDICAL SUPPLY INC
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID KRUPOVLYANSKIY (CFO)
(614) 231-8877
Entity
Organization
Contact information
Practice address
4040 E BROAD ST, SUITE 105, COLUMBUS, OH 43213-1156
(614) 231-8877
Mailing address
4040 E BROAD ST, SUITE 105, COLUMBUS, OH 43213-1156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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