Organization
K C HEALTH SERVICES
Active
Other names
K C INSTITUTIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CATHER RPH MBA (OWNER)
(330) 899-0406
Entity
Organization
Contact information
Practice address
360 WABASH AVE N, STE B, BREWSTER, OH 44613-1042
(330) 767-3436
(330) 767-3090
Mailing address
360 WABASH AVE N, STE B, BREWSTER, OH 44613-1042
(330) 767-3436
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
020832350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080207
PK
—
Enumeration date
08/31/2006
Last updated
03/06/2017
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