Organization
HAWKEYS INC OF COLUMBUS GROVE
Active
Other names
HAWKEYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CASSIDY PHARM D,RPH (OWNER.PIC,AO)
(419) 659-2366
Entity
Organization
Contact information
Practice address
114 N HIGH ST, COLUMBUS GROVE, OH 45830-1239
(419) 659-2366
(419) 659-2346
Mailing address
PO BOX 126, COLUMBUS GROVE, OH 45830-0126
(419) 659-2366
(419) 659-2346
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02016485003
OH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2072580
PK
—
05
—
3753424
—
OH
Enumeration date
03/01/2007
Last updated
09/04/2015
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