Organization
MOGANS DRUGS STORE INCORPORATED
Active
Other names
GRAND VALLEY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SNYDER RPH (OWNER)
(440) 437-5151
Entity
Organization
Contact information
Practice address
11 N MAPLE ST, ORWELL, OH 44076-9516
(440) 437-5151
(440) 437-8672
Mailing address
PO BOX 395, ORWELL, OH 44076-0395
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020709700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0899256
—
OH
01
—
2072672
PK
—
Enumeration date
01/24/2007
Last updated
12/18/2016
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