Organization
DISCOUNT DRUG MART INC
Active
Other names
DISCOUNT DRUG MART
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TAYLOR CPHT (PHARMACY COORDINATOR)
(330) 725-2340
Entity
Organization
Contact information
Practice address
107 S CHESTNUT ST, JEFFERSON, OH 44047-1312
(440) 576-3111
(440) 576-4033
Mailing address
211 COMMERCE DR, MEDINA, OH 44256-1331
(330) 725-2340
(330) 764-4857
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021232050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2077668
PK
—
05
—
2277889
—
OH
Enumeration date
06/25/2006
Last updated
03/06/2017
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