Provider Demographics
NPI:1295829703
Name:PRE CURSOR INC
Entity Type:Organization
Organization Name:PRE CURSOR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BAUMGARTNER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:419-287-3238
Mailing Address - Street 1:143 EAST FRONT STREET
Mailing Address - Street 2:PO BOX 897
Mailing Address - City:PEMBERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43450-0897
Mailing Address - Country:US
Mailing Address - Phone:419-287-3238
Mailing Address - Fax:419-287-2008
Practice Address - Street 1:143 EAST FRONT STREET
Practice Address - Street 2:
Practice Address - City:PEMBERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43450-0897
Practice Address - Country:US
Practice Address - Phone:419-287-3238
Practice Address - Fax:419-287-2008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2010620332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3609724OtherNABP
OH2010620Medicaid
OH3609724OtherNABP