Organization
BETHANN PASSARELLO INC
Active
Other names
THE MEDICINE PLACE
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANN PASSARELLO BS IN PHARMACY (OWNER AND PHARMACIST)
(330) 757-3553
Entity
Organization
Contact information
Practice address
6615 CLINGAN RD, STE B, POLAND, OH 44514-2196
(330) 757-3553
(330) 757-0155
Mailing address
6615 CLINGAN RD, STE B, POLAND, OH 44514-2196
(330) 757-3553
(330) 757-0155
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP.021352850-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075518
PK
—
Enumeration date
01/08/2007
Last updated
02/16/2016
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