Provider Demographics
NPI:1033530985
Name:HOPE PHARMACY LTD
Entity Type:Organization
Organization Name:HOPE PHARMACY LTD
Other - Org Name:HOPE PHARMACY LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:AFUA
Authorized Official - Middle Name:
Authorized Official - Last Name:NUTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-426-4160
Mailing Address - Street 1:5791 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2831
Mailing Address - Country:US
Mailing Address - Phone:614-426-4160
Mailing Address - Fax:614-426-4170
Practice Address - Street 1:5791 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2831
Practice Address - Country:US
Practice Address - Phone:614-426-4160
Practice Address - Fax:614-426-4170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-19
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
OHRTP0223674503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0097979Medicaid
2143728OtherPK