Organization
ANDERSONS DRUG STORE INC
Active
Other names
ANDERSON DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M DIXON (VP AND MGR)
(740) 774-2670
Entity
Organization
Contact information
Practice address
160 E MAIN ST, CHILLICOTHE, OH 45601-2506
(740) 774-2670
(740) 779-0296
Mailing address
160 E MAIN ST, CHILLICOTHE, OH 45601-2506
(740) 774-2670
(740) 779-0296
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02106200
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197755
—
OH
01
—
3617163
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
11/07/2013
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