=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093804783
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE TOLEDO HOSPITAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/12/2006
-----------------------------------------------------
Last Update Date | 08/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2109 HUGHES DR STE 840
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43606-5113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-291-8530
-----------------------------------------------------
Fax | 419-479-3293
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2150 W CENTRAL AVE
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43606-3834
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-291-8530
-----------------------------------------------------
Fax | 419-479-3293
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF PHARMACY
-----------------------------------------------------
Name | BRYAN COEHRS
-----------------------------------------------------
Credential | PHARMD
-----------------------------------------------------
Telephone | 567-585-3041
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0002X
-----------------------------------------------------
Taxonomy Name | Clinic Pharmacy
-----------------------------------------------------
License Number | 5301011062
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | RTP.020811250-03
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------