Organization
KAISER COMMUNITY PHARMACY LLC
Active
Other names
Kaiser Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ELMER (VP)
(419) 668-8101
Entity
Organization
Contact information
Practice address
251 BENEDICT AVE, NORWALK, OH 44857-2346
(419) 668-1078
(419) 663-5837
Mailing address
251 BENEDICT AVE, NORWALK, OH 44857-2346
(419) 668-1078
(419) 663-5837
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PMY.022651150-03
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162323
PK
—
Enumeration date
07/06/2016
Last updated
03/06/2017
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