Organization
CHIEF SUPER MARKET INC
Active
Other names
CHIEF PHARMACY AND WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA STAFFORD (CORPORATE SECRETARY)
(419) 782-0950
Entity
Organization
Contact information
Practice address
705 DEATRICK ST, DEFIANCE, OH 43512-2785
(419) 784-0088
(419) 784-2273
Mailing address
1340 W HIGH ST, STE E, DEFIANCE, OH 43512-5302
(419) 784-0088
(419) 784-2273
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021695800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2737480
—
OH
01
—
3668641
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/03/2006
Last updated
04/25/2012
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