Organization
GENTRY HEALTH SERVICES INC
Active
Other names
DISCOUNT DRUG MART
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TAYLOR (PHARMACY COORDINATOR)
(330) 725-2340
Entity
Organization
Contact information
Practice address
1090 ENTERPRISE DR, MEDINA, OH 44256-1328
(330) 661-6061
(844) 329-2447
Mailing address
1090 ENTERPRISE DR, MEDINA, OH 44256-1328
(330) 661-6061
(844) 329-2447
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
022401800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145945
PK
—
Enumeration date
05/27/2014
Last updated
03/06/2017
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