Healthcare Provider Details

I. General information

NPI: 1447261086
Provider Name (Legal Business Name): KIDS N CURES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8720 E MARKET ST STE 7
WARREN OH
44484-2364
US

IV. Provider business mailing address

8720 E MARKET ST STE 7
WARREN OH
44484-2364
US

V. Phone/Fax

Practice location:
  • Phone: 330-372-2255
  • Fax: 330-372-9995
Mailing address:
  • Phone: 330-372-2255
  • Fax: 330-372-9995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number021592700
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRAD VAUGHN
Title or Position: PHARMACIST
Credential: RPH
Phone: 330-372-2255