MEDICARE: PRESCRIPTION CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	02-0439800	OH
2	3336S0011X	Specialty Pharmacy	02-0439800	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609915370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESCRIPTION CENTER

Provider Business Mailing Address
First Line	:	9798 N LIMA RD
Second Line	:
City	:	POLAND
State	:	OH
Zip	:	44514-3230
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9798 N LIMA RD
Second Line	:
City	:	POLAND
State	:	OH
Zip	:	44514-3230
Country	:	US
Telephone Number	:	330-549-5522
Fax Number	:

Authorized Official
Title or Position	:	R.P.H
Name	:	MR. JOSEPH THOMAS
Credential	:	R.P.H
Telephone Number	:	330-549-5522

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	08/01/2015

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Directions to “PRESCRIPTION CENTER ” Practice Location

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