Provider Demographics
NPI:1316572316
Name:COVERMYMEDS PHARMACY LLC
Entity type:Organization
Organization Name:COVERMYMEDS PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP & TREASURER; MANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:CHILDRESS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:901-340-5999
Mailing Address - Street 1:910 JOHN ST. STE. 3B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43222-1105
Mailing Address - Country:US
Mailing Address - Phone:614-454-3325
Mailing Address - Fax:
Practice Address - Street 1:910 JOHN ST., STE. 3B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1105
Practice Address - Country:US
Practice Address - Phone:614-454-3325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0234000016OtherOHIO STATE BOARD OF PHARMACY