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Organization

PILLS IN PACKAGES

Active
Other names
PILLS IN PACKAGES
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL WARREN RPH (OWNER PRES)
(419) 637-7441
Entity
Organization

Contact information

Practice address
249 W MADISON ST, GIBSONBURG, OH 43431-1319
(419) 637-7441
(419) 637-7629
Mailing address
249 W MADISON ST, GIBSONBURG, OH 43431-1319
(419) 637-7441
(419) 637-7629

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
021125050
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2076520
PK
05
2132301
OH
Enumeration date
12/18/2006
Last updated
03/07/2017
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