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Contact Information

CHIEF SUPER MARKET INC
705 DEATRICK ST
DEFIANCE, OH43512-2785
 Phone: 419-784-0088
 Fax: 419-784-2273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CHIEF SUPER MARKET INC

NPI # 1851485148
LBN Legal business name CHIEF SUPER MARKET INC
Authorized official THERESA STAFFORD - (CORPORATE SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 04/25/2012 - About 14 years ago
Identifiers
OH License # 021695800
OH Medicaid 2737480
Other 3668641 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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