Ohio Cvs Stores LLC

NPI #1689904252 in Tiffin, Ohio

Provider Information

NPI Number: 1689904252
Entity Type: Organization
Organization Name: Ohio Cvs Stores LLC
Primary Specialty: Pharmacy
Enumeration Date: Jan 5, 2010
Last Updated: Oct 25, 2011

Practice Location

Address: 733 W MARKET ST
City: Tiffin
State: Ohio
ZIP Code: 44883-2520
Phone: (419) 455-9104

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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