Organization
CLINIC PHARMACY INC
Active
Other names
CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETRIE (PRES)
(614) 252-4348
Entity
Organization
Contact information
Practice address
1000 E BROAD ST, COLUMBUS, OH 43205-1381
(614) 252-4348
(614) 252-5079
Mailing address
1000 E BROAD ST, COLUMBUS, OH 43205-1381
(614) 252-4348
(614) 252-5079
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP02047190003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634559
—
OH
01
—
2075563
PK
—
Enumeration date
10/20/2006
Last updated
03/30/2016
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