Organization
STATTON INC.
Active
Other names
Herbert's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETTON CLARK WALBERG RPH (OWNER)
(440) 293-6358
Entity
Organization
Contact information
Practice address
270 EAST MAIN ST., ANDOVER, OH 44003-1087
(440) 293-6358
(440) 293-7251
Mailing address
30 CONNEAUT LAKE RD, GREENVILLE, PA 16125-2167
(724) 885-0310
(724) 885-0330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
021302450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2308041
—
OH
Enumeration date
11/08/2006
Last updated
06/12/2024
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