Petrilla Inc Dba Dicks Pharmacy in Youngstown - Pharmacist
Petrilla Inc Dba Dicks Pharmacy - NPI 1265577373
Petrilla Inc Dba Dicks Pharmacy is a Pharmacist in Youngstown, Ohio. Petrilla Inc Dba Dicks Pharmacy practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Petrilla Inc Dba Dicks Pharmacy is 1265577373. The last update date is 2020-08-22.
Petrilla Inc Dba Dicks Pharmacy's current location address is 790 N Garland Ave, Youngstown, Ohio. You can contact this provider via phone number 3307433544 and fax number 3307438106. The mailing address for Petrilla Inc Dba Dicks Pharmacy is 790 N Garland Ave, Youngstown, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petrilla Inc Dba Dicks Pharmacy |
|---|---|
| Address | 790 N Garland Ave, Youngstown, Ohio |
| Phone Number | 3307433544 |
| Fax Number | 3307438106 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Petrilla A Richard |
| Credentials | PHARMACIST |
| Telephone Number | 3307433544 |
NPI Number Detail
| NPI Number | 1265577373 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 790 N Garland Ave |
|---|---|
| City | Youngstown |
| State | Ohio (OH) |
| Post Code | 445061078 |
| Phone Number | 3307433544 |
| Fax Number | 3307438106 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
|
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique identification code assigned to Petrilla Inc Dba Dicks Pharmacy by the Centers for Medicare & Medicaid Services?
The Petrilla Inc Dba Dicks Pharmacy has been issued the NPI (National Provider Identifier) 1265577373. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Petrilla Inc Dba Dicks Pharmacy?
The Petrilla Inc Dba Dicks Pharmacy is situated at 790 N Garland Ave, in the city of Youngstown, state of OH, with the zip code 445061078.
What is the Petrilla Inc Dba Dicks Pharmacy's specialty and taxonomy code?
The Petrilla Inc Dba Dicks Pharmacy's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Petrilla Inc Dba Dicks Pharmacy receive its 1265577373 assignment from the Centers for Medicare & Medicaid Services?
The Petrilla Inc Dba Dicks Pharmacy was assigned its 1265577373 by the Centers for Medicare & Medicaid Services on 2007-02-20.
As of what date was the information pertaining to Petrilla Inc Dba Dicks Pharmacy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Petrilla Inc Dba Dicks Pharmacy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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