Organization
F H WOLKEN INC
Active
Other names
FREDS FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK WOLKEN RPH (OWNER,PRESIDENT,AO)
(330) 332-9919
Entity
Organization
Contact information
Practice address
1136 E STATE ST, SALEM, OH 44460-2230
(330) 332-9919
(330) 332-2501
Mailing address
1136 E STATE ST, SALEM, OH 44460-2230
(330) 332-9919
(330) 332-2501
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020511950
OH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672759
—
OH
01
—
2077097
PK
—
Enumeration date
01/08/2007
Last updated
09/14/2015
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