Organization
P B W PHARMACY INC
Active
Other names
Medicine Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY WHITE R PH (VICE PRESIDENT)
(330) 455-9536
Entity
Organization
Contact information
Practice address
2526 TUSCARAWAS ST W, CANTON, OH 44708
(330) 453-4804
(330) 453-7688
Mailing address
2523 TUSCARAWAS ST W, CANTON, OH 44708-4701
(330) 455-9536
(330) 453-7688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
03-3-14214
OH
3336C0003X
Community/Retail Pharmacy
Primary
03-3-14214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473321
—
OH
01
—
3627873
NAPB
OH
Enumeration date
09/28/2006
Last updated
05/26/2018
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