# CHIEF SUPER MARKET INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHIEF PHARMACY AND WELLNESS CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851485148
- **Authorized official:** THERESA STAFFORD (CORPORATE SECRETARY)
- **Authorized official phone:** (419) 782-0950

## Contact information

- **Practice address:** 705 DEATRICK ST, DEFIANCE, OH 43512-2785
- **Practice address phone:** (419) 784-0088
- **Practice address fax:** (419) 784-2273
- **Mailing address:** 1340 W HIGH ST, STE E, DEFIANCE, OH 43512-5302
- **Mailing address phone:** (419) 784-0088
- **Mailing address fax:** (419) 784-2273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 021695800 | OH | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 04/25/2012