Organization
MEDICAL UNIVERSITY OF OHIO AT TOLEDO
Active
Other names
UNIV OF TOLEDO MAIN CAMPUS OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE MORLOCK RPH (CHIEF EXECUTIVE OFFICER)
(419) 530-3471
Entity
Organization
Contact information
Practice address
2801 W BANCROFT ST # MS 513, VALERIE HOUSEHOLDER, TOLEDO, OH 43606-3328
(419) 530-3471
(419) 530-3473
Mailing address
2801 W BANCROFT ST # MS 513, VALERIE HOUSEHOLDER, TOLEDO, OH 43606-3328
(419) 530-3471
(419) 530-3473
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
020257500
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0857872
—
OH
01
—
2072412
PK
—
Enumeration date
07/22/2006
Last updated
03/10/2017
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