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Organization

MATSTE INC

Active
Other names
The Hometown Pharmacy Long Term Care
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD T MCDERMOTT RPH (SVP OPERATIONS)
(330) 318-3926
Entity
Organization

Contact information

Practice address
7160 WARREN SHARON RD, BROOKFIELD, OH 44403-9657
(330) 448-8009
(330) 448-8029
Mailing address
8571 FOXWOOD CT STE A, POLAND, OH 44514-4313
(330) 318-3926
(330) 318-3927

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102317220
PA
05
2916910
OH
Enumeration date
11/03/2020
Last updated
08/04/2022
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