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Organization
HAWKEYS INC OF COLUMBUS GROVE
Active
Organization
HAWKEYS INC OF COLUMBUS GROVE
Active
Other names
HAWKEYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CASSIDY PHARM D,RPH (OWNER.PIC,AO)
(419) 659-2366
Entity
Organization
Contact information
Practice address
114 N HIGH ST, COLUMBUS GROVE, OH 45830-1239
(419) 659-2366
(419) 659-2346
Mailing address
PO BOX 126, COLUMBUS GROVE, OH 45830-0126
(419) 659-2366
(419) 659-2346
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
02016485003
OH
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2072580
PK
—
05
—
3753424
—
OH
Enumeration date
03/01/2007
Last updated
09/04/2015
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