National Provider Identifier Database

DONALD C FILLMORE
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

DONALD C FILLMORE
119 S SYCAMORE AVE
SYCAMORE, OH44882-0107
Phone: 419-927-2691
Fax: 419-927-2681
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for DONALD C FILLMORE

NPI Number 1417015538
Legal business name
LBN
DONALD C FILLMORE
Authorized official DONALD FILLMORE - (OWNER AND PHARM)
Entity Organization
Organization subpart No
Enumeration date 12/04/2006
Last updated 12/28/2010 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: RTP02179150
  • OH Medicaid: 0479496
  • Other: 3638826 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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