Provider Demographics
NPI:1316968415
Name:GREAT SCOT INC
Entity type:Organization
Organization Name:GREAT SCOT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY,AO
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-208-6617
Mailing Address - Street 1:317 W MAIN CROSS ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-3314
Mailing Address - Country:US
Mailing Address - Phone:419-422-8090
Mailing Address - Fax:419-424-3932
Practice Address - Street 1:279 W WATER ST
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:OH
Practice Address - Zip Code:43449-1335
Practice Address - Country:US
Practice Address - Phone:419-898-0954
Practice Address - Fax:419-898-0586
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEEDLER ENTERPRISES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-22
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0209488503336C0003X, 3336C0003X
332B00000X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0315377Medicaid
2071107OtherPK
OH0315377Medicaid