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NPI Code Detail

MEDICARE: OHIO STATE UNIVERSITY OUTPATIENT PHARMACY

MEDICARE: OHIO STATE UNIVERSITY OUTPATIENT PHARMACY
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
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124683826
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHIO STATE UNIVERSITY OUTPATIENT PHARMACY
Provider Business Mailing Address
First Line : 600 ACKERMAN RD # E1014
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-4500
Country : US
Telephone Number : 614-685-4188
Fax Number : 614-293-7822
Provider Business Practice Location Address
First Line : 181 TAYLOR AVENUE
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1779
Country : US
Telephone Number : 614-257-2628
Fax Number : 614-257-3377
Authorized Official
Title or Position : CHIEF PHARMACY OFFICER
Name : DR. TRISHA JORDAN
Credential : PHARMD
Telephone Number : 614-293-8470
Provider Enumeration Date : 05/08/2019
Last Update Date : 02/02/2026

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1033614573 — NATALIE ANN KLAG MD
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1649769316 — LESLIE C PILLOW MD
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Directions to “OHIO STATE UNIVERSITY OUTPATIENT PHARMACY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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