# P B W PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265523716
- **Authorized official:** MR. BRADLEY WHITE R PH (VICE PRESIDENT)
- **Authorized official phone:** (330) 455-9536

## Contact information

- **Practice address:** 2526 TUSCARAWAS ST W, CANTON, OH 44708
- **Practice address phone:** (330) 453-4804
- **Practice address fax:** (330) 453-7688
- **Mailing address:** 2523 TUSCARAWAS ST W, CANTON, OH 44708-4701
- **Mailing address phone:** (330) 455-9536
- **Mailing address fax:** (330) 453-7688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 03-3-14214 | OH | — |
| 3336C0003X | Community/Retail Pharmacy | 03-3-14214 | OH | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 05/26/2018
