Organization
IMMUNIZATION CONSULTANTS OF CENTRAL OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S WILLIAMS PHARM.D. (MEMBER)
(614) 214-0128
Entity
Organization
Contact information
Practice address
801 W CHERRY ST, SUITE 129, SUNBURY, OH 43074-8573
(614) 214-0128
Mailing address
801 W CHERRY ST, SUITE 129, SUNBURY, OH 43074-8573
(614) 214-0128
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
021988950
OH
3336C0002X
Clinic Pharmacy
021988950-12
OH
Other
Enumeration date
07/14/2009
Last updated
04/14/2014
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