# HAWKEYS INC OF COLUMBUS GROVE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HAWKEYS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710015078
- **Authorized official:** EDWARD CASSIDY PHARM D,RPH (OWNER.PIC,AO)
- **Authorized official phone:** (419) 659-2366

## Contact information

- **Practice address:** 114 N HIGH ST, COLUMBUS GROVE, OH 45830-1239
- **Practice address phone:** (419) 659-2366
- **Practice address fax:** (419) 659-2346
- **Mailing address:** PO BOX 126, COLUMBUS GROVE, OH 45830-0126
- **Mailing address phone:** (419) 659-2366
- **Mailing address fax:** (419) 659-2346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 02016485003 | OH | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 09/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2072580 | PK | — |
| 05 | — | 3753424 | — | OH |