Healthcare Provider Details

I. General information

NPI: 1447155668
Provider Name (Legal Business Name): OHIO CHARITABLE COMMUNITY PHARMACIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 S CABLE RD
LIMA OH
45805-3467
US

IV. Provider business mailing address

825 S CABLE RD
LIMA OH
45805-3467
US

V. Phone/Fax

Practice location:
  • Phone: 419-210-8565
  • Fax:
Mailing address:
  • Phone: 419-210-8565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JOSHUA PEARSON
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 419-210-8565