Organization
DISCOUNT DRUG MART INC
Active
Other names
DISCOUNT DRUG MART
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TAYLOR CPHT (PHARMACY COORDINATOR)
(330) 725-2340
Entity
Organization
Contact information
Practice address
4925 PORTAGE ST NW, NORTH CANTON, OH 44720-7248
(330) 966-2115
(330) 966-4553
Mailing address
211 COMMERCE DR, MEDINA, OH 44256-1331
(330) 725-2340
(330) 764-4857
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020969500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013001
—
OH
01
—
2074553
PK
—
Enumeration date
06/17/2006
Last updated
03/06/2017
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