Pemberville Drug Store LLC
NPI #1184907115 in Pemberville, Ohio
Provider Information
- NPI Number
- 1184907115
- Entity Type
- Organization
- Organization Name
- Pemberville Drug Store LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Sep 26, 2011
- Last Updated
- Sep 26, 2011
Practice Location
- Address
- 139 E FRONT ST # 897
- City
- Pemberville
- State
- Ohio
- ZIP Code
- 43450-7032
- Phone
- (419) 287-3238
Authorized Official
- Name
- MR. JOSEPH LEE BAUMGARTNER, RPH
- Title
- OWNER
- Phone
- (419) 287-3238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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