Organization
TADMAR INC
Active
Other names
Brine's Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RON MCDERMOTT (SVP OPERATIONS)
(330) 318-3926
Entity
Organization
Contact information
Practice address
906 N STATE ST, GIRARD, OH 44420-1736
(330) 545-5025
(330) 545-5881
Mailing address
8571 FOXWOOD CT, SUITE A, POLAND, OH 44514-4313
(330) 318-3926
(330) 318-3927
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022087600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127387
PK
—
05
—
3109602
—
OH
Enumeration date
08/20/2006
Last updated
03/17/2017
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