Organization
KNOX COMMUNITY HOSPITAL
Active
Other names
KCH Eastside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE O'BRIEN (CFO)
(740) 393-9138
Entity
Organization
Contact information
Practice address
1451 YAUGER RD, MOUNT VERNON, OH 43050-8097
(740) 397-1420
(740) 397-2454
Mailing address
1451 YAUGER RD, MOUNT VERNON, OH 43050-8097
(740) 397-1420
(740) 397-2454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080372
PK
—
05
—
2640351
—
OH
Enumeration date
06/20/2006
Last updated
09/11/2024
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