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NPI Code Detail

MEDICARE: COMMUNITY DRUG BOARD, INC

MEDICARE: COMMUNITY DRUG BOARD, 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
1208D00000XGeneral Practice PhysicianOH
2261QH0100XHealth Service Clinic/Center34.002564OH
3261QC1500XCommunity Health Clinic/Center34.002564OH
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)34.002564OH
5261QM2800XMethadone Clinic34.002564OH
6291U00000XClinical Medical Laboratory36D0340567OH

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 : 1952631616
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY DRUG BOARD, INC
Provider Business Mailing Address
First Line : 725 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44305-2421
Country : US
Telephone Number : 330-315-2666
Fax Number : 330-315-5230
Provider Business Practice Location Address
First Line : 719 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44305-2421
Country : US
Telephone Number : 330-379-2760
Fax Number :
Authorized Official
Title or Position : CFO
Name : MICHELLE A MARSHALL
Credential :
Telephone Number : 330-315-3708
Provider Enumeration Date : 12/31/2009
Last Update Date : 12/23/2025

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Directions to “COMMUNITY DRUG BOARD, INC ” Practice Location

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