Mantua Pharmacy Inc in Mantua - Community/retail Pharmacy
Mantua Pharmacy Inc - NPI 1063565927
Mantua Pharmacy Inc is a Community/retail Pharmacy in Mantua, Ohio. Mantua Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Mantua Pharmacy Inc is 1063565927. The last update date is 2010-05-17.
Mantua Pharmacy Inc's current location address is 10870 N. Main St, Mantua, Ohio. You can contact this provider via phone number 3302742209 and fax number 3302745220. The mailing address for Mantua Pharmacy Inc is 10870 N. Main St, Mantua, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mantua Pharmacy Inc |
|---|---|
| Address | 10870 N. Main St, Mantua, Ohio |
| Phone Number | 3302742209 |
| Fax Number | 3302745220 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wiggers R Steven |
| Credentials | RPH |
| Telephone Number | 3302742209 |
NPI Number Detail
| NPI Number | 1063565927 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2010-05-17 |
Provider Mailing Address Detail
| Address | 10870 N. Main St |
|---|---|
| City | Mantua |
| State | Ohio (OH) |
| Post Code | 44255 |
| Phone Number | 3302742209 |
| Fax Number | 3302745220 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5492800 | OH | -- |
Post Comment/ Review Below
What is the Mantua Pharmacy Inc's unique identification number?
The Mantua Pharmacy Inc has been assigned the NPI (National Provider Identifier) Number 1063565927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mantua Pharmacy Inc?
The Mantua Pharmacy Inc is situated at 10870 N. Main St, in the city of Mantua, state of OH, with the zip code 44255.
What is Mantua Pharmacy Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mantua Pharmacy Inc is Community/retail Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0003X.
On what date did the Mantua Pharmacy Inc receive the assignment of its 1063565927 from the Centers for Medicare & Medicaid Services?
The Mantua Pharmacy Inc was issued its 1063565927 by the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date was the information pertaining to Mantua Pharmacy Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mantua Pharmacy Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-05-17.