Organization
MARGRET'S MASTECTOMY SHOPPE, LTD.
Active
Organization
MARGRET'S MASTECTOMY SHOPPE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ANNE CIANCIOLA (VP OPERATIONS)
(330) 518-3703
Entity
Organization
Contact information
Practice address
95 ARCH ST, SUITE 205, AKRON, OH 44304-1437
(330) 761-2700
(330) 761-2701
Mailing address
PO BOX 805, CANFIELD, OH 44406-0805
(330) 518-3703
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062422
—
OH
Enumeration date
06/19/2006
Last updated
08/22/2020
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