Healthcare Provider Details

I. General information

NPI: 1407842107
Provider Name (Legal Business Name): ROSS PARK PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROSS PARK BLVD SUITE 100
STEUBENVILLE OH
43952-2671
US

IV. Provider business mailing address

1 ROSS PARK BLVD SUITE 100
STEUBENVILLE OH
43952-2671
US

V. Phone/Fax

Practice location:
  • Phone: 740-264-7740
  • Fax: 740-264-7636
Mailing address:
  • Phone: 740-264-7740
  • Fax: 740-264-7636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number02-1701800
License Number StateOH

VIII. Authorized Official

Name: MR. FRANK CONFORTI
Title or Position: MANAGER
Credential: R.PH.
Phone: 740-283-7272