MEDICARE: MEMAW INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1619738267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEMAW INC

Provider Business Mailing Address
First Line	:	1314 7TH AVE
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-4217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 LEE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2557
Country	:	US
Telephone Number	:	888-498-5438
Fax Number	:

Authorized Official
Title or Position	:	TREASURER/ SECRETARY
Name	:	ERIC DAVIS
Credential	:
Telephone Number	:	724-384-0766

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	01/22/2024

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Directions to “MEMAW INC ” Practice Location

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