MEDICARE: THE TAMARKIN COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	021233850	OH
2	3336C0003X	Community/Retail Pharmacy

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	RIFV93991	OTHER	OH	MEDICARE MASS FLU
4	P00419123	OTHER	OH	MEDICARE RAILROAD FLU

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3668730	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1124033048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE TAMARKIN COMPANY

Provider Business Mailing Address
First Line	:	101 KAPPA DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-2809
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 E DUBLIN GRANVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-2503
Country	:	US
Telephone Number	:	614-416-0381
Fax Number	:	614-416-0384

Authorized Official
Title or Position	:	INSURANCE CONTRACTING & CREDENTIALI
Name	:	DEBORAH J ELMS
Credential	:
Telephone Number	:	412-967-4775

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	06/17/2020

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Directions to “THE TAMARKIN COMPANY ” Practice Location

Language	Start Address	Practice Location

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