Organization
OHIO NORTH EAST HEALTH SYSTEMS, INC.
Active
Other names
Youngstown Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN VICTOR (DIRECTOR OF PHARMACY SERVICES)
(330) 747-9551
Entity
Organization
Contact information
Practice address
726 WICK AVE, YOUNGSTOWN, OH 44505-2827
(330) 747-9551
(330) 884-6121
Mailing address
726 WICK AVE, YOUNGSTOWN, OH 44505-2827
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
020540950-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3678046
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/05/2009
Last updated
05/05/2009
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