Organization
ASHTABULA COUNTY MEDICAL CENTER
Active
Other names
ACMC HEALTHCARE SYSTEM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY SHICK PHARMD (DIRECTOR OF PHARMACY)
(440) 997-6276
Entity
Organization
Contact information
Practice address
2420 LAKE AVE, PHARMACY DEPARTMENT, ASHTABULA, OH 44004-4954
(440) 997-6276
(440) 997-6679
Mailing address
2420 LAKE AVE, PHARMACY DEPARTMENT, ASHTABULA, OH 44004-4954
(440) 997-6276
(440) 997-6679
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
HOS.020040800-03
OH
3336I0012X
Institutional Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117272
—
OH
05
—
0289343
—
OH
01
—
2074026
PK
—
Enumeration date
09/30/2014
Last updated
02/02/2022
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