MEDICARE: SPRINGVALE HEALTH CENTERS, INC.-PHARMACY

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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1639768187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGVALE HEALTH CENTERS, INC.-PHARMACY

Provider Business Mailing Address
First Line	:	201 HOSPITAL DR
Second Line	:
City	:	DOVER
State	:	OH
Zip	:	44622-2058
Country	:	US
Telephone Number	:	330-343-6631
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 OXFORD ST
Second Line	:
City	:	DOVER
State	:	OH
Zip	:	44622-1970
Country	:	US
Telephone Number	:	330-365-1085
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JOSEPH J BOROSKI
Credential	:	LPCC
Telephone Number	:	330-343-6631

Provider Enumeration Date	:	01/11/2021
Last Update Date	:	05/18/2026

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