Organization
STATE OF OHIO OFFICE OF BUDGET & MANAGEMENT STATE ACCOUNTING
Active
Other names
CENTRAL PHARMACY OUTPATIENT
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HAAS (OHIOMHAS OPS CHIEF)
(614) 752-0116
Entity
Organization
Contact information
Practice address
2150 W BROAD ST, COLUMBUS, OH 43223-1257
(614) 752-0150
(614) 752-0151
Mailing address
2150 W BROAD ST, COLUMBUS, OH 43223-1257
(614) 752-0150
(614) 752-0151
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
020171800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143244
PK
—
Enumeration date
03/19/2007
Last updated
08/21/2020
Update your record
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