MEDICARE: CROSBY'S DRUGS, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	02-0173000	OH
2	3336C0003X	Community/Retail Pharmacy

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

General Provider Information

NPI Number	:	1346237146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSBY'S DRUGS, INC.

Provider Business Mailing Address
First Line	:	2609 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-2555
Country	:	US
Telephone Number	:	614-263-9424
Fax Number	:	614-263-2929

Provider Business Practice Location Address
First Line	:	2609 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-2555
Country	:	US
Telephone Number	:	614-263-9424
Fax Number	:	614-263-2929

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. SHERRIE LYNN COHEN-MERCHANT
Credential	:
Telephone Number	:	614-263-9424

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	04/17/2019

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