Provider Demographics
NPI:1033430723
Name:READ'S PHARMACY LLC
Entity Type:Organization
Organization Name:READ'S PHARMACY LLC
Other - Org Name:READ'S PHARMACY #1
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:W
Authorized Official - Last Name:READ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:740-587-1979
Mailing Address - Street 1:176 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-5750
Mailing Address - Country:US
Mailing Address - Phone:740-587-1979
Mailing Address - Fax:740-587-2573
Practice Address - Street 1:176 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-5750
Practice Address - Country:US
Practice Address - Phone:740-587-1979
Practice Address - Fax:740-587-2573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3679303OtherNABP
OH3087118Medicaid
OH3087118Medicaid