Organization
PROFESSIONALS PRN LLC
Active
Other names
NORTHSIDE HOME INFUSION
Organization subpart
No
Provider details
NPI number
Authorized official
ROD STICKRATH (DIRECTOR)
(740) 454-5666
Entity
Organization
Contact information
Practice address
21 N MAYSVILLE AVE, ZANESVILLE, OH 43701-6110
(740) 452-2447
(740) 452-1399
Mailing address
21 N MAYSVILLE AVE, ZANESVILLE, OH 43701-6110
(740) 452-2447
(740) 452-1399
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
021068550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2056902
—
OH
01
—
2145998
PK
—
Enumeration date
06/02/2014
Last updated
06/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us