Mantua Pharmacy INC

NPI #1063565927 in Mantua, Ohio

Provider Information

NPI Number
1063565927
Entity Type
Organization
Organization Name
Mantua Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 22, 2007
Last Updated
May 17, 2010

Practice Location

Address
10870 N. MAIN ST
City
Mantua
State
Ohio
ZIP Code
44255
Phone
(330) 274-2209

Authorized Official

Name
MR. STEVEN R WIGGERS, RPH
Title
OWNER
Phone
(330) 274-2209

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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