Organization
TRUDY MCNEIL
Active
Other names
MAIN STREET CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUSHIL BHAGAT RPH (PHARMACIST)
(614) 621-8227
Entity
Organization
Contact information
Practice address
500 EAST MAIN STREET, COLUMBUS, OH 43215-5369
(614) 621-8227
(614) 228-3481
Mailing address
8080 RAVINES EDGE CT, STE 200, COLUMBUS, OH 43235
(614) 430-8022
(614) 430-8025
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021345150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2362698
—
OH
01
—
3671042
OTHER ID NUMBER
—
Enumeration date
04/19/2007
Last updated
10/20/2008
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