Organization
CZUP FOWLER LTD
Active
Other names
HOFFMANS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FOWLER RPH (OWNER)
(440) 992-3000
Entity
Organization
Contact information
Practice address
2323 LAKE AVE, ASHTABULA, OH 44004-3439
(440) 992-3000
(440) 992-3300
Mailing address
2323 LAKE AVE, ASHTABULA, OH 44004-3439
(440) 992-3000
(440) 992-3300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP021657500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2072161
PK
—
05
—
4001805
—
OH
Enumeration date
03/20/2007
Last updated
01/17/2017
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