Organization
COLONY PHARMACY, INC
Active
Other names
THE PHARMACY COUNTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS DON NEWSOM RPH (CHIEF EXECUTIVE OFFICER)
(419) 473-1493
Entity
Organization
Contact information
Practice address
1515 S BYRNE RD, TOLEDO, OH 43614-3458
(419) 382-3475
(419) 385-0706
Mailing address
2655 W CENTRAL AVE, TOLEDO, OH 43606-3550
(419) 473-1493
(419) 473-1529
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0820937
—
OH
01
—
3627392
NCPDP
OH
01
—
48153180
VENDOR LICENSE #
OH
Enumeration date
01/02/2007
Last updated
03/07/2023
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