Organization
MEMORIAL HOSPITAL
Active
Other names
MEMORIAL HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL KOCH RPH (PHARMACY DIRECTOR)
(419) 334-6618
Entity
Organization
Contact information
Practice address
715 S TAFT AVE, FREMONT, OH 43420-3237
(419) 334-6618
(419) 334-6678
Mailing address
715 S TAFT AVE, FREMONT, OH 43420-3237
(419) 334-6618
(419) 334-6678
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HOS.020030100-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075169
PK
—
Enumeration date
03/16/2007
Last updated
04/19/2016
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