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NPI Code Detail

MEDICARE: FOSTORIA HOSPITAL ASSOCIATION

MEDICARE: FOSTORIA HOSPITAL ASSOCIATION
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy021663150OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12080623OTHERPK

General Provider Information

NPI Number : 1750436432
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOSTORIA HOSPITAL ASSOCIATION
Provider Business Mailing Address
First Line : 501 VAN BUREN ST
Second Line : SUITE 101
City : FOSTORIA
State : OH
Zip : 44830
Country : US
Telephone Number : 419-435-6560
Fax Number : 419-435-6562
Provider Business Practice Location Address
First Line : 501 VAN BUREN ST
Second Line :
City : FOSTORIA
State : OH
Zip : 44830-1534
Country : US
Telephone Number : 419-435-6560
Fax Number : 419-435-6562
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : BRYAN COEHRS
Credential : PHARMD
Telephone Number : 567-585-3041
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/19/2018

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Directions to “FOSTORIA HOSPITAL ASSOCIATION ” Practice Location

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