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Contact Information

GOOD SAMARITAN OUTPATIENT PHARMACY
375 DIXMYTH AVE
CINCINNATI, OH45220
 Phone: 513-872-1559
 Fax: 513-475-5878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GOOD SAMARITAN OUTPATIENT PHARMACY

NPI # 1497842991
LBN Legal business name GOOD SAMARITAN OUTPATIENT PHARMACY
Authorized official LEONARD KAES - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2006
Last updated 10/08/2010 - About 16 years ago
Identifiers
OH License # 020030650
OH Medicaid 2312867
OH Other 3661851 NCPDP
OH Other 020030650 TERMINAL DISTRIBUTER
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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