Provider Demographics
NPI:1346204898
Name:DUSINI DRUGS INC
Entity Type:Organization
Organization Name:DUSINI DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT RPH
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:VINCI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:330-364-5519
Mailing Address - Street 1:315 E HIGH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-2566
Mailing Address - Country:US
Mailing Address - Phone:330-364-5519
Mailing Address - Fax:330-364-1501
Practice Address - Street 1:315 E HIGH AVE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2566
Practice Address - Country:US
Practice Address - Phone:330-364-5519
Practice Address - Fax:330-364-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02122120005217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000213583OtherANTHEM BC/BS
OH0978527Medicaid
OH0978527Medicaid