Organization
DONNELLY PHARMACY SERVICES INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
LORI DONNELLY RPH (OWNER PHARMACIST)
(440) 286-6166
Entity
Organization
Contact information
Practice address
325 CENTER ST, CHARDON, OH 44024-1184
(440) 286-6166
(440) 285-4789
Mailing address
325 CENTER ST, CHARDON, OH 44024-1184
(440) 286-6166
(440) 285-4789
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021113800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2092104
—
OH
01
—
3665304
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
03/07/2023
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