DBA EAST MAIN STREET PHARMACY
1336 E Main St
Columbus, OH 43205
614-252-1998
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | OH | 021074900 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2059356 | OH | MEDICAID | |
DEA NUMBER | BE5902615 | OH | OTHER |
STATE PHARMACY LICENSE NUMBER | 021074900 | OH | OTHER |
NABP NUMBER | 3665582 | OH | OTHER |