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COVENTRY PLAZA PHARMACY INC

Medical Equipment Supplier Yellow Pages

Lorain, Ohio

Provider NPI: 1225191851

Organization Information:
Organization Name:  COVENTRY PLAZA PHARMACY INC


Practice Location:
2811 FULTON RD STE B LORAIN, OH 44055 US
Tel: 440-277-0655  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
Y3336C0003XSuppliers
Pharmacy
OH021599100

Other Provider Identifiers:

IssuerNumberStateType
PK208056501
2701580OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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