Organization
SO MINK COLLECTION RX
Active
Organization
SO MINK COLLECTION RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHONAE PRIDE (OWNER)
(216) 262-3991
Entity
Organization
Contact information
Practice address
14077 CEDAR RD # LL6E, SOUTH EUCLID, OH 44118-3338
(216) 262-3991
Mailing address
10073 CONCORD CT, PARMA HEIGHTS, OH 44130-4529
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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