Organization
WADSWORTH COMPOUNDING APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN OHARA RPH (OWNER)
(330) 335-4125
Entity
Organization
Contact information
Practice address
1197 HIGH ST, WADSWORTH, OH 44281-8282
(330) 335-4125
Mailing address
1197 HIGH ST, WADSWORTH, OH 44281-8282
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
OH
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3673870
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/16/2006
Last updated
09/11/2025
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