# PROGRESSIVE WELLNESS PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Progressive Wellness Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508453077
- **Authorized official:** HUSSEIN HAIDAR PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (419) 540-9988

## Contact information

- **Practice address:** 7640 SYLVANIA AVE STE C-1, SYLVANIA, OH 43560-9263
- **Practice address phone:** (419) 749-3193
- **Practice address fax:** (419) 299-0030
- **Mailing address:** 7640 SYLVANIA AVE STE C-1, SYLVANIA, OH 43560-9263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2020
- **Last updated:** 10/14/2021