# SHRIVERS PHARMACY ELDERCARE SOLUTIONS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eldercare Solutions Shrivers Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114962701
- **Authorized official:** MR. JASON ROBERT GAVIN RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (330) 854-6800

## Contact information

- **Practice address:** 10870 PORTAGE ST NW, CANAL FULTON, OH 44614-8817
- **Practice address phone:** (330) 854-6800
- **Practice address fax:** (330) 854-6832
- **Mailing address:** 10870 PORTAGE ST NW, CANAL FULTON, OH 44614-8817
- **Mailing address phone:** (330) 854-6800
- **Mailing address fax:** (330) 854-6832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | OH | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 03/07/2023