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NPI Code Detail

MEDICARE: PRE CURSOR INC

MEDICARE: PRE CURSOR INC
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
1332B00000XDurable Medical Equipment & Medical Supplies2010620OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13609724OTHEROHNABP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295829703
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRE CURSOR INC
Provider Business Mailing Address
First Line : 143 EAST FRONT STREET
Second Line : PO BOX 897
City : PEMBERVILLE
State : OH
Zip : 43450-0897
Country : US
Telephone Number : 419-287-3238
Fax Number : 419-287-2008
Provider Business Practice Location Address
First Line : 143 EAST FRONT STREET
Second Line :
City : PEMBERVILLE
State : OH
Zip : 43450-0897
Country : US
Telephone Number : 419-287-3238
Fax Number : 419-287-2008
Authorized Official
Title or Position : OWNER/PHARMACIST
Name : JOSEPH LEE BAUMGARTNER
Credential : RPH
Telephone Number : 419-287-3238
Provider Enumeration Date : 10/02/2006
Last Update Date : 08/22/2020

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