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Contact Information

HERITAGE PHARMACY INC
3675 DOLSON CT
CARROLL, OH43112-9721
 Phone: 740-653-0942
 Fax: 740-654-5041
 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 HERITAGE PHARMACY INC

NPI # 1710954631
LBN Legal business name HERITAGE PHARMACY INC
Authorized official JOHN HUNTER - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2006
Last updated 01/18/2016 - About 10 years ago
Identifiers
OH License # 020150150
OH Medicaid 0510361497
Other 3633460 NCPDP PROVIDER IDENTIFICATION NUMBER
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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