Ohio Cvs Stores LLC

NPI #1902909641 in Marion, Ohio

Provider Information

NPI Number: 1902909641
Entity Type: Organization
Organization Name: Ohio Cvs Stores LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Oct 25, 2011

Practice Location

Address: 137 MCMAHAN BLVD
City: Marion
State: Ohio
ZIP Code: 43302-5656
Phone: (740) 389-2331

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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