Provider Demographics
NPI:1215764907
Name:CLEARMEDIX PHARMACY
Entity type:Organization
Organization Name:CLEARMEDIX PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:855-314-0136
Mailing Address - Street 1:510 E WILSON BRIDGE RD STE D
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2373
Mailing Address - Country:US
Mailing Address - Phone:855-314-0136
Mailing Address - Fax:855-314-0136
Practice Address - Street 1:510 E WILSON BRIDGE RD STE D
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2373
Practice Address - Country:US
Practice Address - Phone:855-314-0136
Practice Address - Fax:855-314-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy