Organization
LOWER LIGHTS PHARMACY
Active
Parent organization
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
Other names
Lower Lights Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
Authorized official
SHELLY MAUREY (CREDENTIALING SPECIALIST)
(614) 274-1455
Entity
Organization
Contact information
Practice address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
Mailing address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
022580300-02
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348534
—
OH
Enumeration date
01/13/2016
Last updated
03/07/2023
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