Healthcare Provider Details

I. General information

NPI: 1235658667
Provider Name (Legal Business Name): SAFERX SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 05/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 DELAWARE AVE
MARION OH
43302-6461
US

IV. Provider business mailing address

PO BOX 423
MARION OH
43301
US

V. Phone/Fax

Practice location:
  • Phone: 614-568-4646
  • Fax: 614-388-5722
Mailing address:
  • Phone: 614-568-4646
  • Fax: 614-388-5722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number50002737
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50002737
License Number StateOH

VIII. Authorized Official

Name: MS. ELIZABETH MARTINELLI
Title or Position: DIRECTOR
Credential: PA-C
Phone: 614-568-4646