Healthcare Provider Details

I. General information

NPI: 1164883294
Provider Name (Legal Business Name): ACCUDOSE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2016
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 BOARDMAN CANFIELD RD STE 3
BOARDMAN OH
44512-4711
US

IV. Provider business mailing address

3728 BRAEMAR DR
RICHFIELD OH
44286-9035
US

V. Phone/Fax

Practice location:
  • Phone: 888-222-6185
  • Fax: 888-222-3045
Mailing address:
  • Phone: 888-222-6185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPMY.022582250-03
License Number StateOH

VIII. Authorized Official

Name: MARK FRANCESCHELLI
Title or Position: PRESIDENT
Credential:
Phone: 440-915-5632