Healthcare Provider Details

I. General information

NPI: 1467006759
Provider Name (Legal Business Name): ELEMEL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 W STATE ST
NEW CASTLE PA
16101-1258
US

IV. Provider business mailing address

8571 FOXWOOD CT STE A
POLAND OH
44514-4313
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-9670
  • Fax: 724-658-9675
Mailing address:
  • Phone: 330-318-3926
  • Fax: 330-318-3927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
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:
Phone: 330-318-3926