Healthcare Provider Details

I. General information

NPI: 1033124656
Provider Name (Legal Business Name): LAURELPHARM OH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 LAZELLE RD STE 10
COLUMBUS OH
43240-2077
US

IV. Provider business mailing address

400 LAZELLE RD STE 10
COLUMBUS OH
43240-2077
US

V. Phone/Fax

Practice location:
  • Phone: 614-436-3909
  • Fax: 614-436-3911
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateOH

VIII. Authorized Official

Name: JEFFREY WOODSIDE
Title or Position: DIVISION PRES
Credential:
Phone: 407-571-1550