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Organization
HYS HEALTH MART INC
Active
Organization
HYS HEALTH MART INC
Active
Other names
MEDICINE CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAM SALOUHA RPH (PRESIDENT)
(440) 366-1035
Entity
Organization
Contact information
Practice address
403 CLEVELAND ST, ELYRIA, OH 44035-6143
(440) 366-1035
(440) 366-0028
Mailing address
403 CLEVELAND ST, ELYRIA, OH 44035-6143
(440) 366-1035
(440) 366-0028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RTP.022177550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063260
—
OH
01
—
2132941
PK
—
Enumeration date
12/05/2011
Last updated
12/06/2013
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