Organization
MARYSIA INC
Active
Other names
The Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD T MCDERMOTT RPH (SVP OPERATIONS)
(330) 318-3926
Entity
Organization
Contact information
Practice address
3 NORTHGATE PLZ UNIT 2, HARMONY, PA 16037-9257
(724) 452-5334
(724) 452-5592
Mailing address
8571 FOXWOOD CT STE A, POLAND, OH 44514-4313
(330) 318-3926
(330) 318-3927
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016367920001
—
PA
Enumeration date
08/25/2022
Last updated
08/25/2022
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