Healthcare Provider Details

I. General information

NPI: 1215616933
Provider Name (Legal Business Name): HURSH DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 N DIAMOND ST
MANSFIELD OH
44902-1325
US

IV. Provider business mailing address

90 N DIAMOND ST
MANSFIELD OH
44902-1325
US

V. Phone/Fax

Practice location:
  • Phone: 419-524-0521
  • Fax:
Mailing address:
  • Phone: 419-524-0521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY POEHLER
Title or Position: PRESIDENT
Credential:
Phone: 419-524-0521