Organization

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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