Organization
SCARBROUGH PHARMACY INC
Active
Other names
SCARBROUGH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN SCARBROUGH (PRESIDENT)
(419) 278-1851
Entity
Organization
Contact information
Practice address
138 E MAIN ST, LEIPSIC, OH 45856-1427
(419) 943-2561
(419) 943-2559
Mailing address
138 E MAIN ST, LEIPSIC, OH 45856-1427
(419) 943-2561
(419) 943-2559
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02459200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0622295
—
OH
01
—
2076697
PK
—
Enumeration date
08/10/2006
Last updated
06/10/2014
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