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NPI Code Detail

MEDICARE: DISCOUNT DRUG MART INC

MEDICARE: DISCOUNT DRUG MART 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
1333600000XPharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
33336C0003XCommunity/Retail Pharmacy020489600OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12076735OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962447979
Entity Type Code : Organization
Provider Name (Legal Business Name) : DISCOUNT DRUG MART INC
Provider Business Mailing Address
First Line : 211 COMMERCE DR
Second Line :
City : MEDINA
State : OH
Zip : 44256-1331
Country : US
Telephone Number : 330-725-2340
Fax Number : 330-764-4857
Provider Business Practice Location Address
First Line : 8191 COLUMBIA RD
Second Line :
City : OLMSTED FALLS
State : OH
Zip : 44138-2023
Country : US
Telephone Number : 440-235-8787
Fax Number : 440-235-1779
Authorized Official
Title or Position : PHARMACY COORDINATOR
Name : LAURA TAYLOR
Credential : CPHT
Telephone Number : 330-725-2340
Provider Enumeration Date : 06/17/2006
Last Update Date : 03/06/2017

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Directions to “DISCOUNT DRUG MART INC ” Practice Location

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