Organization
WANDAROO 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
1135 W WESTERN RESERVE RD, POLAND, OH 44514-3592
(330) 629-7345
(330) 629-7353
Mailing address
8571 FOXWOOD CT STE A, POLAND, OH 44514-4313
(330) 318-3926
(330) 318-3927
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2960005
—
OH
Enumeration date
05/29/2020
Last updated
08/04/2022
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