Organization
MD COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO PETRINO (PHARMACIST)
(330) 726-6337
Entity
Organization
Contact information
Practice address
721 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4386
(330) 726-6337
Mailing address
721 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4386
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
01/22/2014
Last updated
04/24/2014
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