# COLONY PHARMACY, INC

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

## Provider details

- **NPI number:** 1962569889
- **Authorized official:** MR. DENNIS DON NEWSOM RPH (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (419) 473-1493

## Contact information

- **Practice address:** 2655 W CENTRAL AVE, TOLEDO, OH 43606-3550
- **Practice address phone:** (419) 473-1493
- **Practice address fax:** (419) 473-1529
- **Mailing address:** 2655 W CENTRAL AVE, TOLEDO, OH 43606-3550
- **Mailing address phone:** (419) 473-1493
- **Mailing address fax:** (419) 473-1529

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0469578 | — | OH |
| 01 | — | 04735 | PROVIDER ID | OH |
| 01 | — | 3606615 | NCPDP | OH |