Organization
PHARMISERV CORP
Active
Other names
MEDICAL PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA STEUER RPH (MANAGER)
(614) 878-9665
Entity
Organization
Contact information
Practice address
5212 W BROAD ST, COLUMBUS, OH 43228-1642
(614) 878-9665
(614) 878-4660
Mailing address
5212 W BROAD ST, COLUMBUS, OH 43228-1642
(614) 878-9665
(614) 878-4660
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020150350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361460
—
OH
01
—
3634121
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
02/14/2011
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