Organization
COUNTY LINEPROFESSIONAL PHARMACY LLC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PODOLAN RPH (OWNER AND PHARMACIST)
(614) 865-2577
Entity
Organization
Contact information
Practice address
1020 HIGH ST, WORTHINGTON, OH 43085-4014
(614) 865-2577
(614) 882-9546
Mailing address
1020 HIGH ST, WORTHINGTON, OH 43085-4014
(614) 865-2577
(614) 882-9546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021418350
OH
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079666
PK
—
05
—
2460395
—
OH
Enumeration date
12/04/2006
Last updated
07/05/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us