Organization
GENTRY HEALTH SERVICES INC
Active
Other names
DISCOUNT DRUG MART
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TAYLOR (PHARMACY COORDINATOR)
(330) 725-2340
Entity
Organization
Contact information
Practice address
33381 WALKER RD STE A, AVON LAKE, OH 44012-1463
(216) 750-4038
(440) 848-8595
Mailing address
33381 WALKER RD STE A, AVON LAKE, OH 44012-1463
(216) 750-4038
(440) 848-8595
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02287360003
OH
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176757
PK
—
Enumeration date
03/28/2018
Last updated
07/19/2018
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