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Organization

CAMPBELL PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MATISI (OWNER)
(330) 755-5221
Entity
Organization

Contact information

Practice address
135 12TH ST, CAMPBELL, OH 44405-1663
(330) 755-5221
(330) 755-1490
Mailing address
135 12TH ST, CAMPBELL, OH 44405-1663
(330) 755-5221
(330) 755-1490

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
020149950
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0403012
OH
01
2074370
PK
Enumeration date
03/23/2007
Last updated
01/18/2017
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