MEDSMART CO OP PHARMACY
Managed Care Organization Pharmacy
Warren, Ohio
Provider NPI: 1952343303
Organization Information:Organization Name: MEDSMART CO OP PHARMACY
Practice Location:
8044 E MARKET ST WARREN, OH 44484 US
Tel: 330-856-6780 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
8044 E MARKET ST WARREN, OH 44484 US
Tel: 330-856-6780 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 3336C0003X | Suppliers Pharmacy Community/Retail Pharmacy | ||
X | 3336M0003X | Suppliers Pharmacy | ||
X | 333600000X | Suppliers Pharmacy | OH |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 3673666 | 01 | |
2569037 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin