Healthcare Provider Details

I. General information

NPI: 1104989276
Provider Name (Legal Business Name): CHEFFY DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 E MAIN ST
BARNESVILLE OH
43713-1004
US

IV. Provider business mailing address

148 E MAIN ST
BARNESVILLE OH
43713-1004
US

V. Phone/Fax

Practice location:
  • Phone: 740-425-1582
  • Fax: 740-425-1795
Mailing address:
  • Phone: 740-425-1582
  • Fax: 740-425-1795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number021647100
License Number StateOH

VIII. Authorized Official

Name: PATRICK KOVACS
Title or Position: OWNER
Credential: RPH
Phone: 740-425-1582