NPI Code Details Logo

NPI 1386367647

NPI 1386367647 : ABSOLUTECARE PHARMACY OF OHIO, LLC : BROOKLYN, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386367647
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ABSOLUTECARE PHARMACY OF OHIO, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/22/2022
-----------------------------------------------------
    Last Update Date     |    06/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7580 NORTHCLIFF AVE 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44144-3270
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-231-4431
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10175 LITTLE PATUXENT PKWY STE 800 
-----------------------------------------------------
    City                 |    COLUMBIA
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21044-3401
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    216-545-7000
-----------------------------------------------------
    Fax                  |    216-545-7227
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     GREGORY P. FOTI 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    404-231-4431
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.