Organization
CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON
Active
Other names
AMBULATORY CARE CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN RICHARD DAVIS (DIRECTOR REIMBURSEMENT)
(330) 543-4166
Entity
Organization
Contact information
Practice address
215 W BOWERY ST RM C3220, AKRON, OH 44308-1069
(330) 543-8322
(330) 543-3042
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8322
(330) 543-3042
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
020616250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434004
—
OH
01
—
2074100
PK
—
Enumeration date
01/08/2007
Last updated
10/04/2021
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