Healthcare Provider Details

I. General information

NPI: 1184396517
Provider Name (Legal Business Name): DISCOUNT DRUG MART INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9133 PEARL RD
STRONGSVILLE OH
44136-1414
US

IV. Provider business mailing address

211 COMMERCE DR
MEDINA OH
44256-1331
US

V. Phone/Fax

Practice location:
  • Phone: 440-783-3120
  • Fax: 440-260-8100
Mailing address:
  • Phone: 330-725-2340
  • Fax: 330-764-4857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAURA S TAYLOR
Title or Position: PHARMACY COORDINATOR
Credential: CPHT
Phone: 330-725-2340