Organization Name: | PHARMACY COUNTER, LLC |
NPI Number: | 1073942835 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW BODENSTEDT (GENERAL MANAGER) |
Mailing Address: | 1661 Holland Rd Suite 400 Maumee |
State: | OH US |
Postal Code: | 435374207 |
Phone Number: | 4197202005 |
Fax Number: | 4197202006 |
NPI Enumeration Date: | 11/02/2013 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |