NPI | 1134277130 |
---|---|
Doing Business As | FREDS FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | FREDERICK WOLKEN Owner,President,AO 330-332-9919 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 020511950) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2015-09-14 |