MEDX LTC PHARMACY LLC; NPI #1770216806

Contact Information

MEDX LTC PHARMACY LLC

3021 NAVARRE AVE
SUITE A
OREGON, OH 43616

Phone: 419-214-9066
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MEDX LTC PHARMACY LLC

NPI #	`1770216806`
LBN Legal business name	MEDX LTC PHARMACY LLC
Authorized official	IMAD MOURAD - (RPH/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/06/2022
Last updated	07/06/2022 - About 4 years ago
Identifiers	n/a

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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