Organization
HOWLAND INFUSION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL FOSSACECA (OWNER)
(330) 469-6120
Entity
Organization
Contact information
Practice address
8600 E MARKET ST, SUITE #10, WARREN, OH 44484-2375
(330) 469-6120
(330) 469-5247
Mailing address
8600 E MARKET ST, SUITE #10, WARREN, OH 44484-2375
(330) 469-6120
(330) 469-5247
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PMY.022590050-0
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168003
PK
—
Enumeration date
01/08/2016
Last updated
03/08/2017
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