Organization
DONALD C FILLMORE
Active
Other names
FILLMORE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD FILLMORE RPH (OWNER AND PHARM)
(419) 927-2691
Entity
Organization
Contact information
Practice address
119 S SYCAMORE AVE, SYCAMORE, OH 44882-0107
(419) 927-2691
(419) 927-2681
Mailing address
PO BOX 107, SYCAMORE, OH 44882-0107
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP02179150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479496
—
OH
01
—
3638826
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/04/2006
Last updated
12/28/2010
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