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NPI Code Detail

MEDICARE: SIGNATURE HEALTH INC

MEDICARE: SIGNATURE HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy022363750OH
23336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1073932588
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIGNATURE HEALTH INC
Provider Business Mailing Address
First Line : 4726 MAIN AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-6929
Country : US
Telephone Number : 440-261-9200
Fax Number : 440-261-9201
Provider Business Practice Location Address
First Line : 4726 MAIN AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-6929
Country : US
Telephone Number : 440-261-9200
Fax Number : 440-261-9201
Authorized Official
Title or Position : CHIEF PHARMACY OFFICER
Name : KELLEY S DRAGAR
Credential : PHARM D
Telephone Number : 440-578-8200
Provider Enumeration Date : 04/11/2014
Last Update Date : 06/16/2025

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Directions to “SIGNATURE HEALTH INC ” Practice Location

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