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Organization

BELLEVUE MEDICINE SHOPPE

Active
Other names
Champion Medicine Shoppe
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ASHLEY RENEE DUDLEY PHARMD-DOCTORATE (PHARMACY MANAGER)
(330) 847-8000
Entity
Organization

Contact information

Practice address
4619 MAHONING AVE., WARREN, OH 44483
(330) 847-8000
(330) 847-7708
Mailing address
4619 MAHONING AVE., WARREN, OH 44483
(330) 847-8000
(330) 847-7708

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
022001250
OH
333600000X
Pharmacy

Other

Enumeration date
11/24/2009
Last updated
06/26/2015
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