Organization Name: | COLONY PHARMACY INC |
NPI Number: | 1083712509 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS DON NEWSOM (CEO) |
Mailing Address: | 2701 Navarre Oregon |
State: | OH US |
Postal Code: | 43616 |
Phone Number: | 4194731493 |
Fax Number: | 4194731529 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 10/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 48177260 |
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 |