Healthcare Provider Details

I. General information

NPI: 1003418278
Provider Name (Legal Business Name): TADEK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 CREED ST
STRUTHERS OH
44471-1223
US

IV. Provider business mailing address

8571 FOXWOOD CT STE A
POLAND OH
44514-4313
US

V. Phone/Fax

Practice location:
  • Phone: 330-750-0006
  • Fax: 330-750-0296
Mailing address:
  • Phone: 330-318-3926
  • Fax: 330-318-3927

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 Number
License Number State

VIII. Authorized Official

Name: RONALD T MCDERMOTT
Title or Position: SVP OPERATIONS
Credential: RPH
Phone: 330-318-3926