Healthcare Provider Details

I. General information

NPI: 1902822232
Provider Name (Legal Business Name): BRIAR HILL FOODS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 09/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W MAIN ST
CARROLLTON OH
44615-1029
US

IV. Provider business mailing address

501 W MAIN ST
CARROLLTON OH
44615-1029
US

V. Phone/Fax

Practice location:
  • Phone: 330-627-4521
  • Fax: 330-627-7657
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateOH

VIII. Authorized Official

Name: TED THORNE
Title or Position: OWNER AND PRESIDENT
Credential: RPH
Phone: 330-332-0021