Five County Alcohol/drup Program In
Non-pharmacy Dispensing Site
109 W Main St, Alvordton
Ohio, 43501-9763
419-924-2029 419-924-2061
Five County Alcohol/drup Program In is a Non-pharmacy Dispensing Site in Alvordton, Ohio. It is located at 109 W Main St, Alvordton and it's customer support contact number is 419-924-2029. The authorized person of Five County Alcohol/drup Program In is Kenneth Bond Iv, LICDC who is Executive Director of the pharmacy and his contact number is 419-782-9920. Active license number of Five County Alcohol/drup Program In is 0559 for Non-pharmacy Dispensing Site in Ohio.
Five County Alcohol/drup Program In is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Five County Alcohol/drup Program In type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Five County Alcohol/drup Program In |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 109 W Main St, Alvordton,
Ohio, 43501-9763 |
| Phone: | 419-924-2029 |
| Fax: | 419-924-2061 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenneth Bond Iv |
| Credentials: | LICDC |
| Position: | Executive Director |
| Contact Number: | 419-782-9920 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1093772386 |
| NPI Enumeration Date: | 28 Apr, 2006 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Five County Alcohol/drup Program In are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 0559 | Ohio | Primary | |
| Mental Health (Including Community Mental Health Center) | 0559 | Ohio | Secondary | |
| Adult Mental Health | 0559 | Ohio | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10998 | Other | Ohio | Macsis Upi |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 830 S Clinton St,
Defiance, Ohio |
| Zip: | 43512-2758 |
| Phone Number: | 419-782-9920 |
| Fax Number: | 419-784-2523 |
Patients can reach Five County Alcohol/drup Program In at
109 W Main St, Alvordton, Ohio or can
call on customer care at 419-924-2029.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.