Organization
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC
Active
Parent organization
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC
Other names
CAA PHARMACY: LISBON
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC
Authorized official
DAVID JOHN HUDOBA PHARMD (PHARMACY MANAGER)
(330) 724-5471
Entity
Organization
Contact information
Practice address
7880 LINCOLE PL, LISBON, OH 44432-8322
(330) 870-1145
(330) 870-0450
Mailing address
7880 LINCOLE PL, LISBON, OH 44432-8322
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232000517
OHIO BOARD OF PHARMACY LICENSE NUMBER
OH
Enumeration date
01/13/2025
Last updated
05/07/2025
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