Provider Demographics
NPI:1205010618
Name:CLINICAL PHARMACY SERVICES, LLC
Entity Type:Organization
Organization Name:CLINICAL PHARMACY SERVICES, LLC
Other - Org Name:GAHM'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:JANNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:740-259-2442
Mailing Address - Street 1:50A CENTER ST
Mailing Address - Street 2:
Mailing Address - City:LUCASVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45648-7826
Mailing Address - Country:US
Mailing Address - Phone:740-259-2442
Mailing Address - Fax:740-259-9341
Practice Address - Street 1:50A CENTER ST
Practice Address - Street 2:
Practice Address - City:LUCASVILLE
Practice Address - State:OH
Practice Address - Zip Code:45648-7826
Practice Address - Country:US
Practice Address - Phone:740-259-2442
Practice Address - Fax:740-259-9341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy