Provider Demographics
NPI:1275678682
Name:COMMUNITY PHARMACY PARTNERS
Entity Type:Organization
Organization Name:COMMUNITY PHARMACY PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELOISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:NORWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:419-474-0605
Mailing Address - Street 1:2105 W ALEXIS RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-2256
Mailing Address - Country:US
Mailing Address - Phone:419-474-0605
Mailing Address - Fax:419-474-0668
Practice Address - Street 1:2105 W ALEXIS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-2256
Practice Address - Country:US
Practice Address - Phone:419-474-0605
Practice Address - Fax:419-474-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH025636503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3650860OtherNCPDP #
OH0723480Medicaid
OH0723480Medicaid
OH0723480Medicaid