# DARTMOUTH PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992895726
- **Authorized official:** MR. MARK COBERLY R.PH. (PRESIDENT)
- **Authorized official phone:** (330) 454-9045

## Contact information

- **Practice address:** 2801 TUSCARAWAS ST W, CANTON, OH 44708-4640
- **Practice address phone:** (330) 454-9045
- **Practice address fax:** (330) 454-3333
- **Mailing address:** 2801 TUSCARAWAS ST W, CANTON, OH 44708-4640
- **Mailing address phone:** (330) 454-9045
- **Mailing address fax:** (330) 454-3333

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2259676 | — | OH |