Organization
STM MAIL ORDER PHARMACY
Active
Parent organization
HEALTH QUEST PHARMACY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH QUEST PHARMACY INC
Authorized official
MR. RONALD WITLICKI RPH (RPH)
(440) 632-1231
Entity
Organization
Contact information
Practice address
14895 N STATE AVE, UNIT D 1, MIDDLEFIELD, OH 44062-9747
(440) 632-1231
Mailing address
14895 N STATE AVE, UNIT D 1 PO BOX 248, MIDDLEFIELD, OH 44062-9747
(440) 632-1231
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
021792550 02
OH
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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