| NPI | 1801807441 |
|---|---|
| Doing Business As | STADIUM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ICKES Owner 440-967-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH RTP021800250) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-12-12 |