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Contact Information

FAMILY MED-MART LLC
4770 INDIANOLA AVE STE 208
COLUMBUS, OH43214-1876
 Phone: 614-547-7766
 Fax: 614-547-7742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FAMILY MED-MART LLC

NPI Number 1073822870
LBN Legal business name FAMILY MED-MART LLC
Authorized official YAMROTE LAKEW - (MANAGING MEMBER/AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2010
Last updated 03/29/2017 - About 9 years ago
Identifiers
OH License # 022659650
OH Medicaid 3090542
Other 2127361 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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