Healthcare Provider Details

I. General information

NPI: 1316021447
Provider Name (Legal Business Name): OHLIGER DRUG OF NORTH OLMSTED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 04/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27121 CENTER RIDGE RD
WESTLAKE OH
44145-4024
US

IV. Provider business mailing address

27121 CENTER RIDGE RD
WESTLAKE OH
44145-4024
US

V. Phone/Fax

Practice location:
  • Phone: 440-777-6200
  • Fax: 440-734-7340
Mailing address:
  • Phone: 440-777-6200
  • Fax: 440-734-7340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number020122900
License Number StateOH

VIII. Authorized Official

Name: MONICA OHLIGER-LAVELLE
Title or Position: OWNER
Credential: RPH
Phone: 440-777-6200