MEDICARE: READ'S PHARMACY 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

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	:	1730494030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	READ'S PHARMACY LLC

Provider Business Mailing Address
First Line	:	599 COUNTRY CLUB DR
Second Line	:
City	:	NEWARK
State	:	OH
Zip	:	43055-2154
Country	:	US
Telephone Number	:	740-587-1979
Fax Number	:	740-587-2573

Provider Business Practice Location Address
First Line	:	599 COUNTRY CLUB DR
Second Line	:
City	:	NEWARK
State	:	OH
Zip	:	43055-2154
Country	:	US
Telephone Number	:	740-587-1979
Fax Number	:	740-587-2573

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	MR. JEFFERY W READ
Credential	:	RPH
Telephone Number	:	740-587-1979

Provider Enumeration Date	:	08/11/2010
Last Update Date	:	01/24/2011

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Directions to “READ'S PHARMACY LLC ” Practice Location

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