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Organization
CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
Active
Organization
CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
Active
Parent organization
CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
Other names
Crystal Clinic Orthopaedic Center Outpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
Authorized official
PATRICIA E WALDER RPH (MANAGER PHARMACY OPERATIONS)
(330) 379-5125
Entity
Organization
Contact information
Practice address
444 N MAIN ST FL 1, AKRON, OH 44310-3110
(330) 379-5125
(330) 379-9086
Mailing address
444 N MAIN ST FL 1, AKRON, OH 44310-3110
(330) 379-5125
(330) 379-9086
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PMY02264650-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3685293
NCPDP
OH
01
—
PMY-022646650-03
STATE OF OHIO BOARD OF PHARMACY
OH
Enumeration date
08/25/2017
Last updated
03/07/2023
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