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Organization
DONNELLY PHARMACY SERVICES INC
Active
Organization
DONNELLY PHARMACY SERVICES INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
LORI DONNELLY RPH (OWNER PHARMACIST)
(440) 286-6166
Entity
Organization
Contact information
Practice address
325 CENTER ST, CHARDON, OH 44024-1184
(440) 286-6166
(440) 285-4789
Mailing address
325 CENTER ST, CHARDON, OH 44024-1184
(440) 286-6166
(440) 285-4789
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
021113800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2092104
—
OH
01
—
3665304
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
03/07/2023
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