Provider Demographics
NPI:1316607575
Name:TORONTO APOTHECARY INC
Entity type:Organization
Organization Name:TORONTO APOTHECARY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R.PH./OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:R
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-921-9372
Mailing Address - Street 1:1361 FRANKLIN ST.
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:OH
Mailing Address - Zip Code:43964
Mailing Address - Country:US
Mailing Address - Phone:740-537-2600
Mailing Address - Fax:740-537-3400
Practice Address - Street 1:1361 FRANKLIN ST.
Practice Address - Street 2:
Practice Address - City:TORONTO
Practice Address - State:OH
Practice Address - Zip Code:43964
Practice Address - Country:US
Practice Address - Phone:740-537-2600
Practice Address - Fax:740-537-3400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TORONTO APOTHECARY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2843089Medicaid