Organization
SUPERTOWN DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDRICK MARTIN MESSINA R.PH. (PRESIDENT)
(937) 675-2211
Entity
Organization
Contact information
Practice address
6 N LIMESTONE ST, JAMESTOWN, OH 45335-1504
(937) 675-2211
(937) 675-2367
Mailing address
6 N LIMESTONE ST, JAMESTOWN, OH 45335-1504
(937) 675-2211
(937) 675-2367
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281378
—
OH
Enumeration date
02/20/2007
Last updated
08/22/2020
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