Apotheke Inc
Organization Active NPI Community/Retail Pharmacy · Sandusky, OH
NPI 1801807441 · NPPES record last updated Dec 12, 2013
Key facts
- NPI
- 1801807441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- RTP021800250 (OH)
- Legal business name
- APOTHEKE INC
- Practice address
- 2205 Hayes Ave
Sandusky, OH 44870-4705 - Phone
- (419) 626-1103
- Fax
- (419) 626-1244
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Kimberly Ickes, RPH
- Title
- Owner
- Phone
- (440) 967-3100
National Provider Directory
Locations
2205 Hayes Ave
Sandusky, OH 44870
Phone (419) 626-1103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | RTP021800250 | OH | Yes |
Addresses
Primary practice location
2205 Hayes Ave
Sandusky, OH 44870-4705
Mailing address
2205 Hayes Ave
Sandusky, OH 44870-4705
Phone (419) 626-1103
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2075484 | Other | PK | |
| 3653148 | Medicaid | OH |
Other names
- STADIUM PHARMACY
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All providers in Sandusky, OH · Community/Retail Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.