Organization
BARTLEYS DISCOUNT PHARMACY INC
Active
Other names
BARTLEYS DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TOM BARTLEY RPH (OWNER, PIC)
(740) 947-2126
Entity
Organization
Contact information
Practice address
302 E EMMITT AVE, WAVERLY, OH 45690-1338
(740) 947-2126
(740) 947-4149
Mailing address
302 E EMMITT AVE, WAVERLY, OH 45690-1338
(740) 947-2126
(740) 947-4149
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020125000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0639616
—
OH
01
—
2076736
PK
—
Enumeration date
08/10/2006
Last updated
02/10/2015
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