Organization
COLUMBUS PRESCRIPTION WEST LLC
Active
Other names
COLUMBUS PRESCRIPTION WEST LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD GROSSMAN RPL PHARMD (CHIEF PHARMACIST)
(614) 351-0062
Entity
Organization
Contact information
Practice address
2849 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 351-0062
(614) 351-0358
Mailing address
2849 W BROAD ST, COLUMBUS, OH 43204-2643
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2503633
—
OH
01
—
3672931
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/24/2005
Last updated
03/07/2008
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