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Organization
BETHANN PASSARELLO INC
Active
Organization
BETHANN PASSARELLO INC
Active
Other names
THE MEDICINE PLACE
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANN PASSARELLO BS IN PHARMACY (OWNER AND PHARMACIST)
(330) 757-3553
Entity
Organization
Contact information
Practice address
6615 CLINGAN RD, STE B, POLAND, OH 44514-2196
(330) 757-3553
(330) 757-0155
Mailing address
6615 CLINGAN RD, STE B, POLAND, OH 44514-2196
(330) 757-3553
(330) 757-0155
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RTP.021352850-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075518
PK
—
Enumeration date
01/08/2007
Last updated
02/16/2016
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