Organization
M R MAIYER INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RYAN MAIYER RPH (PRESIDENT)
(419) 756-6032
Entity
Organization
Contact information
Practice address
283 CLINE AVE, MANSFIELD, OH 44907-1019
(419) 756-6032
(419) 756-3041
Mailing address
283 CLINE AVE, MANSFIELD, OH 44907-1019
(419) 756-6032
(419) 756-3041
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
HMEL 11029
OH
332BC3200X
Customized Equipment (DME)
HMEL 11029
OH
332BN1400X
Nursing Facility Supplies (DME)
HMEL 11029
OH
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HMEL 11029
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
HMEL 11029
OH
333600000X
Pharmacy
02-1165600
OH
3336C0003X
Community/Retail Pharmacy
Primary
02-1165600
OH
3336L0003X
Long Term Care Pharmacy
02-1165600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2135184
—
OH
01
—
3634715
NABP NUMBER
—
Enumeration date
12/12/2006
Last updated
03/07/2023
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