| NPI | 1023054046 |
|---|---|
| Doing Business As | KCH EASTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIELLE O'BRIEN CFO 740-393-9138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-09-11 |