Organization
AKRON PHARMACY
Active
Other names
MAC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIF MANKARYOUS (OWNER/DIRECTOR)
(330) 375-5040
Entity
Organization
Contact information
Practice address
1 PARK WEST BLVD STE 140, AKRON, OH 44320-4230
(330) 556-4515
(330) 556-4516
Mailing address
879 E EXCHANGE ST, AKRON, OH 44306-1127
(330) 375-5040
(330) 375-5048
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PMY02285285003
OH
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259448
—
OH
01
—
2175166
PK
—
Enumeration date
10/28/2017
Last updated
09/17/2021
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