Organization
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT
Active
Other names
Twin Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PARSON (BILLING SUPERVISOR)
(614) 466-0111
Entity
Organization
Contact information
Practice address
2200 E BROAD ST, COLUMBUS, OH 43209-1668
(614) 752-0333
Mailing address
30 E BROAD ST, 11TH FLOOR, COLUMBUS, OH 43215-3414
(614) 466-0111
(614) 466-0111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
021201950-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150152
—
OH
01
—
2167212
PK
—
Enumeration date
11/07/2016
Last updated
01/24/2017
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