Provider Demographics
NPI:1891839585
Name:UNIVERSITY HEALTH CONNECTION PHARMACY
Entity Type:Organization
Organization Name:UNIVERSITY HEALTH CONNECTION PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:614-685-6473
Mailing Address - Street 1:1581 DODD DR
Mailing Address - Street 2:MCCAMPBELL HALL, ROOM 216
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1257
Mailing Address - Country:US
Mailing Address - Phone:614-685-6473
Mailing Address - Fax:614-688-0720
Practice Address - Street 1:1581 DODD DR
Practice Address - Street 2:MCCAMPBELL HALL, ROOM 216
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1257
Practice Address - Country:US
Practice Address - Phone:614-685-6473
Practice Address - Fax:614-688-0720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-13939003336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy