Healthcare Provider Details

I. General information

NPI: 1114287547
Provider Name (Legal Business Name): AMC OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2012
Last Update Date: 01/26/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 N HIGH ST
COLUMBUS OH
43201-2409
US

IV. Provider business mailing address

1033 N HIGH ST
COLUMBUS OH
43201-2409
US

V. Phone/Fax

Practice location:
  • Phone: 614-340-6776
  • Fax: 614-340-6774
Mailing address:
  • Phone: 614-340-6776
  • Fax: 614-340-6774

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 Number02260880003
License Number StateOH

VIII. Authorized Official

Name: THOMAS SALTSMAN
Title or Position: CHIEF PHARMACY OFFICER
Credential:
Phone: 614-975-8564