NPI | 1497485973 |
---|---|
Doing Business As | THIRD STREET PHARMACY |
Entity Type | Organization |
Authorized Contact | PEGGY ANDERSON CEO 419-526-7880 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
3336I0012X Pharmacy, Institutional Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
Enumeration Date | 2022-06-16 |
Last Update Date | 2024-12-31 |