MEDICARE: KIMBERLY RESTAINO RPH

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
1	183500000X	Pharmacist	03225187	OH

General Provider Information

NPI Number	:	1619577848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY RESTAINO RPH

Provider Business Mailing Address
First Line	:	8068 GRAYSON DR
Second Line	:
City	:	CANFIELD
State	:	OH
Zip	:	44406-7614
Country	:	US
Telephone Number	:	330-360-1715
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 DORAL DR
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44514-1900
Country	:	US
Telephone Number	:	330-758-0040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	10/27/2020

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Directions to “ KIMBERLY RESTAINO RPH” Practice Location

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