Organization
RICHARD L BERRY PHARMACY INC
Active
Other names
BERRY'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BERRY (OWNER)
(330) 921-9160
Entity
Organization
Contact information
Practice address
4405 MAHONING AVE, AUSTINTOWN, OH 44515-1602
(330) 792-6585
(330) 792-3381
Mailing address
4405 MAHONING AVE, AUSTINTOWN, OH 44515-1602
(330) 792-6585
(330) 792-3381
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021031400
OH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028004
—
OH
01
—
2072270
PK
—
Enumeration date
10/02/2006
Last updated
04/18/2019
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