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Organization
MAIN STREET MEDS LLC
Active
Organization
MAIN STREET MEDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN DOUGLASS R.PH (PHARMACIST/OWNER)
(740) 695-1191
Entity
Organization
Contact information
Practice address
110 W MAIN ST, SAINT CLAIRSVILLE, OH 43950-1225
(740) 695-0786
(740) 695-9968
Mailing address
110 W MAIN ST, SAINT CLAIRSVILLE, OH 43950-1225
(740) 695-0786
(740) 695-9968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2701740
—
OH
Enumeration date
10/29/2006
Last updated
11/16/2007
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