# STM MAIL ORDER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTH QUEST PHARMACY INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851542138
- **Legal business name:** HEALTH QUEST PHARMACY INC
- **Authorized official:** MR. RONALD WITLICKI RPH (RPH)
- **Authorized official phone:** (440) 632-1231

## Contact information

- **Practice address:** 14895 N STATE AVE, UNIT D 1, MIDDLEFIELD, OH 44062-9747
- **Practice address phone:** (440) 632-1231
- **Mailing address:** 14895 N STATE AVE, UNIT D 1 PO BOX 248, MIDDLEFIELD, OH 44062-9747
- **Mailing address phone:** (440) 632-1231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 021792550 02 | OH | Yes |

## Other

- **Enumeration date:** 10/06/2008
- **Last updated:** 10/06/2008