Organization
Y AND B DRUG INC
Active
Other names
CANAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BURKHOLDER RPH (VP)
(419) 647-4584
Entity
Organization
Contact information
Practice address
102 S BROADWAY ST, SPENCERVILLE, OH 45887-1267
(419) 647-4584
(419) 647-6231
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(419) 647-4584
(419) 647-6231
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020614900
OH
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0777931
—
OH
01
—
2071751
PK
—
Enumeration date
05/27/2005
Last updated
04/20/2017
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