Organization
WANDAROO INC
Active
Other names
The Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MCDERMOTT (SVP OPERATIONS)
(330) 318-3926
Entity
Organization
Contact information
Practice address
1135 W WESTERN RESERVE RD, POLAND, OH 44514-3592
(330) 629-7345
(330) 629-7353
Mailing address
8571 FOXWOOD CT, SUITE A, POLAND, OH 44514-4313
(330) 318-3926
(330) 318-3927
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021628150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080486
PK
—
05
—
2960005
—
OH
Enumeration date
10/13/2006
Last updated
03/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us