Organization Name: | IMMUNIZATION CONSULTANTS OF CENTRAL OHIO, LLC |
NPI Number: | 1013146950 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL S WILLIAMS (MEMBER) |
Mailing Address: | 801 W Cherry St Suite 129 Sunbury |
State: | OH US |
Postal Code: | 430748573 |
Phone Number: | 6142140128 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2009 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | 021988950-12 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |