Healthcare Provider Details

I. General information

NPI: 1588123608
Provider Name (Legal Business Name): DANVILLE HC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 12/15/2021
Certification Date: 12/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 EAST MAIN STREET
DANVILLE OH
43014
US

IV. Provider business mailing address

PO BOX B
DANVILLE OH
43014-0602
US

V. Phone/Fax

Practice location:
  • Phone: 740-481-2300
  • Fax: 740-481-3019
Mailing address:
  • Phone: 740-481-2300
  • Fax: 740-481-3019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. DENISE LYNN CONWAY
Title or Position: R.PH/OWNER
Credential: R.PH
Phone: 740-501-3831