Organization
S & S PHARMACY INC
Active
Other names
SPEIDELS MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MARVA RPH (PRES)
(330) 296-6014
Entity
Organization
Contact information
Practice address
6693 N CHESTNUT ST, RAVENNA, OH 44266-3922
(330) 296-6014
(330) 296-6100
Mailing address
6693 N CHESTNUT ST, RAVENNA, OH 44266-3922
(330) 296-6014
(330) 296-6100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020603650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0578129
—
OH
01
—
3643384
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/15/2006
Last updated
07/22/2011
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