Organization
HURSH DRUG INC
Active
Other names
Hursh Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HARLEY KNOWLTON RPH (PRESIDENT)
(419) 524-0521
Entity
Organization
Contact information
Practice address
90 N DIAMOND ST, MANSFIELD, OH 44902-1325
(419) 524-0521
(419) 524-3892
Mailing address
90 N DIAMOND ST, MANSFIELD, OH 44902-1325
(419) 524-0521
(419) 524-3892
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02-0091500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155317
ANTHEM BC/BS
OH
01
—
06069
PARAMONT
OH
01
—
3622746
NABP#
OH
05
—
4196507
—
OH
Enumeration date
10/27/2006
Last updated
10/07/2010
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