Provider Demographics
NPI:1417947862
Name:FREESTORE/FOODBANK, INC.
Entity Type:Organization
Organization Name:FREESTORE/FOODBANK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-482-7530
Mailing Address - Street 1:1250 TENNESSEE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-1012
Mailing Address - Country:US
Mailing Address - Phone:513-482-7530
Mailing Address - Fax:513-482-7532
Practice Address - Street 1:112 E LIBERTY ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-6510
Practice Address - Country:US
Practice Address - Phone:513-357-4824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable