Healthcare Provider Details

I. General information

NPI: 1972518884
Provider Name (Legal Business Name): THE TAMARKIN COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 06/10/2020
Certification Date: 06/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 S PROSPECT AVENUE
ASHTABULA OH
44004
US

IV. Provider business mailing address

101 KAPPA DR
PITTSBURGH PA
15238-2809
US

V. Phone/Fax

Practice location:
  • Phone: 440-992-6165
  • Fax: 440-992-6046
Mailing address:
  • Phone: 412-968-1550
  • Fax: 412-968-1727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number020960450
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH J ELMS
Title or Position: INSURANCE CONTRACTING & CREDENTIALI
Credential:
Phone: 412-967-4775