Provider Demographics
NPI:1396060620
Name:CHARITABLE PHARMACY OF CENTRAL OHIO, INC.
Entity type:Organization
Organization Name:CHARITABLE PHARMACY OF CENTRAL OHIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZAENGER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:614-227-0301
Mailing Address - Street 1:200 E LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5715
Mailing Address - Country:US
Mailing Address - Phone:614-227-0301
Mailing Address - Fax:614-227-0387
Practice Address - Street 1:200 E LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5715
Practice Address - Country:US
Practice Address - Phone:614-227-0301
Practice Address - Fax:614-227-0387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0220339003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy