Organization Name:  WORTHINGTON INDUSTRIES MEDICAL CENTER, INC.


Practice Location:
1250 DEARBORN DR  WORTHINGTON, OH 43085 US
Tel: 614-840-3571  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	3336C0002X	Suppliers Pharmacy Clinic Pharmacy	KY	OH299
N	3336C0002X	Suppliers Pharmacy	IN	64000225A
N	3336C0002X	Suppliers Pharmacy	WI	254-043
N	3336C0002X	Suppliers Pharmacy	TN	4973
N	3336C0002X	Suppliers Pharmacy	NC	11168
N	3336C0002X	Suppliers Pharmacy	MD	P02500
N	3336C0002X	Suppliers Pharmacy	OH	0222116750
N	333600000X	Suppliers Pharmacy	IL	054-014393
N	3336M0002X	Suppliers Pharmacy	FL	PH17473
N	3336C0002X	Suppliers Pharmacy	KS	22-02960
Y	3336C0002X	Suppliers Pharmacy	AL	110732

Other Provider Identifiers:

Issuer	Number	State	Type
PK	2073686		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin