MEDICARE: NJC PRESCRIPTIONS LLC

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

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	:	1609946979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NJC PRESCRIPTIONS LLC

Provider Business Mailing Address
First Line	:	3350 CLEVELAND AVE
Second Line	:	SUITE 1964
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3677
Country	:	US
Telephone Number	:	614-262-8970
Fax Number	:	614-262-8977

Provider Business Practice Location Address
First Line	:	3350 CLEVELAND AVE
Second Line	:	SUITE 1964
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3677
Country	:	US
Telephone Number	:	614-262-8970
Fax Number	:	614-262-8977

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DALE THOMAS COCHRAN
Credential	:	RPH
Telephone Number	:	614-262-8970

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	01/25/2012

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Directions to “NJC PRESCRIPTIONS LLC ” Practice Location

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