Organization
MATSTE INC
Active
Other names
The Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MCDERMOTT (SVP OPERATIONS)
(330) 319-3926
Entity
Organization
Contact information
Practice address
7160 WARREN SHARON RD, BROOKFIELD, OH 44403-9657
(330) 448-8009
(330) 448-8029
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
RTP.021895500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102317220-0001
—
PA
01
—
2117293
PK
—
05
—
2916910
—
OH
Enumeration date
09/23/2008
Last updated
03/15/2017
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