Healthcare Provider Details

I. General information

NPI: 1396377578
Provider Name (Legal Business Name): DOCTORS PHARMACY LIMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 02/06/2020
Certification Date: 02/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 W MARKET ST STE 101
LIMA OH
45805-2776
US

IV. Provider business mailing address

920 W MARKET ST STE 101
LIMA OH
45805-2776
US

V. Phone/Fax

Practice location:
  • Phone: 614-641-9687
  • Fax:
Mailing address:
  • Phone: 614-641-9687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. EMMANUEL W QUAINOO
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 614-641-9687