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Organization

MAPLE HILL, INC.

Active
Other names
FOSTERS PHARMACY OF CENTERBURG
Organization subpart
No

Provider details

NPI number
Authorized official
DARLENE CHILDERS RPH (OWNER)
(740) 625-7626
Entity
Organization

Contact information

Practice address
4584 COLUMBUS RD, CENTERBURG, OH 43011-9401
(740) 625-7626
(740) 625-7640
Mailing address
4584 COLUMBUS RD, CENTERBURG, OH 43011-9401
(740) 625-7626
(740) 625-7640

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
42018117
OH
3336C0003X
Community/Retail Pharmacy
Primary
020839650
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0144570
OH
01
3661130
NABP NUMBER
OH
Enumeration date
07/08/2005
Last updated
02/04/2021
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