Healthcare Provider Details

I. General information

NPI: 1376879841
Provider Name (Legal Business Name): ABBOTT INFUSION CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2009
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S 2ND ST
COSHOCTON OH
43812-1947
US

IV. Provider business mailing address

PO BOX 1076
COSHOCTON OH
43812
US

V. Phone/Fax

Practice location:
  • Phone: 740-295-7010
  • Fax: 866-596-5061
Mailing address:
  • Phone: 740-295-7010
  • Fax: 866-596-5061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPMY.021991050-03
License Number StateOH

VIII. Authorized Official

Name: CINDY BRADFORD
Title or Position: PRESIDENT
Credential: MBA
Phone: 740-295-7010