=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316932551
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RINGERS DRUG STORE INC DBA RINGERS DRUG STORE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2005
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 125 S MAIN ST
-----------------------------------------------------
City | BRYAN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43506-1754
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-636-1355
-----------------------------------------------------
Fax | 419-636-8571
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 125 S MAIN ST
-----------------------------------------------------
City | BRYAN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43506-1754
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-636-1355
-----------------------------------------------------
Fax | 419-636-8571
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | V PRES
-----------------------------------------------------
Name | MR. RICHARD THOMAS YOWLER
-----------------------------------------------------
Credential | R.PH.
-----------------------------------------------------
Telephone | 419-636-1355
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------