| Plain City Druggist | |
|
480 S Jefferson Ave Plain City OH 43064-4137 | |
| (614) 873-0880 | |
| (614) 873-0972 |
| Full Name | Plain City Druggist |
|---|---|
| Speciality | Clinic/Center |
| Location | 480 S Jefferson Ave, Plain City, Ohio |
| Authorized Official Name and Position | Lonnie Joe Craft (MANAGING MEMBER) |
| Authorized Official Contact | 6145731557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plain City Druggist Po Box 126 Plain City OH 43064-0126 Ph: (614) 873-0880 | Plain City Druggist 480 S Jefferson Ave Plain City OH 43064-4137 Ph: (614) 873-0880 |
| NPI Number | 1285667444 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 03/12/2020 |
| Medicare PECOS PAC ID | 7517970189 |
|---|---|
| Medicare Enrollment ID | O20060726000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285667444 | NPI | - | NPPES |
| 2122232 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 021145600 (Ohio) | Primary |
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