MEDICARE: AMC OHIO LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1447936604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMC OHIO LLC

Provider Business Mailing Address
First Line	:	1105 SCHROCK RD STE 400
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-1174
Country	:	US
Telephone Number	:	614-987-5621
Fax Number	:

Provider Business Practice Location Address
First Line	:	636 W EXCHANGE ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44302-1306
Country	:	US
Telephone Number	:	614-987-5621
Fax Number	:

Authorized Official
Title or Position	:	CHIEF PHARMACY OFFICER
Name	:	DR. THOMAS SALTSMAN
Credential	:	PHARMD., RPH
Telephone Number	:	614-975-8564

Provider Enumeration Date	:	06/23/2023
Last Update Date	:	06/23/2023

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Directions to “AMC OHIO LLC ” Practice Location

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