Provider Demographics
NPI:1861826885
Name:SCIOTO COUNTY COUNSELING CENTER INC
Entity Type:Organization
Organization Name:SCIOTO COUNTY COUNSELING CENTER INC
Other - Org Name:COMPASS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:J. ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-355-7102
Mailing Address - Street 1:1634 11TH ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-4526
Mailing Address - Country:US
Mailing Address - Phone:740-355-7102
Mailing Address - Fax:740-353-3083
Practice Address - Street 1:1634 11TH ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-4526
Practice Address - Country:US
Practice Address - Phone:740-355-7102
Practice Address - Fax:740-353-3083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
OH0223233003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2139456OtherPK