Organization
PROGRESSIVE WELLNESS PHARMACY LLC
Active
Other names
Progressive Wellness Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSEIN HAIDAR PHARMD (PHARMACIST IN CHARGE)
(419) 540-9988
Entity
Organization
Contact information
Practice address
7640 SYLVANIA AVE STE C-1, SYLVANIA, OH 43560-9263
(419) 749-3193
(419) 299-0030
Mailing address
7640 SYLVANIA AVE STE C-1, SYLVANIA, OH 43560-9263
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
10/14/2021
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