Organization
PHARMACY ETC
Active
Other names
DANE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN GREEN BSPH (PRESIDENT)
(614) 866-9338
Entity
Organization
Contact information
Practice address
6495 E BROAD ST, COLUMBUS, OH 43213-1541
(614) 866-9338
(614) 866-7220
Mailing address
6495 E BROAD ST, SUITE D, COLUMBUS, OH 43213-1541
(614) 866-9338
(614) 866-7220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP.020788900-03
OH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0618773
—
OH
01
—
2076635
PK
—
Enumeration date
08/20/2006
Last updated
05/20/2016
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