Healthcare Provider Details

I. General information

NPI: 1184711384
Provider Name (Legal Business Name): MEDCO HEALTH SOLUTIONS OF COLUMBUS NORTH LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W 3RD AVE
COLUMBUS OH
43212-3101
US

IV. Provider business mailing address

100 PARSONS POND DR
FRANKLIN LAKES NJ
07417-2604
US

V. Phone/Fax

Practice location:
  • Phone: 614-421-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARY RYAN
Title or Position: VICE PRESIDENT
Credential: RPH
Phone: 201-269-6900