County Lineprofessional Pharmacy Llc
May also be knows as The Medicine Shoppe Pharmacy
Community/Retail Pharmacy in Worthington, OH(View on Map)
Legal Business Name
County Lineprofessional Pharmacy Llc
Also Known As
The Medicine Shoppe Pharmacy
NPI Number
1710055959
NPI Type
Organization
Enumeration Date
12/04/2006
Specialties
(Taxonomies)Code
3336C0003X
332B00000X
3336L0003X
Primary Taxonomy
Yes
No
No
Licenses
State
Ohio
License Number
021418350
Contact
Information
Purpose
Mailing
Location
Address
1020 HIGH ST
1020 HIGH ST
City
Worthington
Worthington
State
OH
OH
Postal Code
43085-4014
43085-4014
Country
US
US
Telephone Number
(614) 865-2577
(614) 865-2577
Authorized Official
Name
Scott Podolan
Title or Position
OWNER AND PHARMACIST
Telephone Number
(614) 865-2577
Identifiers
Identifier
2079666
2460395
Identifier State
Unknown
OH
Identifier Issuer
PK
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/05/2016
Provider Address
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