Healthcare Provider Details

I. General information

NPI: 1295954931
Provider Name (Legal Business Name): AKRON GENERAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W EXCHANGE ST SUITE 180
AKRON OH
44302-1704
US

IV. Provider business mailing address

224 W EXCHANGE ST SUITE 180
AKRON OH
44302-1704
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-6159
  • Fax: 330-996-2395
Mailing address:
  • Phone: 330-344-6159
  • Fax: 330-996-2395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. JEFFREY LEE CAPPO
Title or Position: ASSISTANT DIRECTOR, PHARMACY
Credential: R.PH.
Phone: 330-344-6159