# MOGANS DRUGS STORE INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRAND VALLEY DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982759635
- **Authorized official:** KEVIN SNYDER RPH (OWNER)
- **Authorized official phone:** (440) 437-5151

## Contact information

- **Practice address:** 11 N MAPLE ST, ORWELL, OH 44076-9516
- **Practice address phone:** (440) 437-5151
- **Practice address fax:** (440) 437-8672
- **Mailing address:** PO BOX 395, ORWELL, OH 44076-0395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 020709700 | OH | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 12/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0899256 | — | OH |
| 01 | — | 2072672 | PK | — |