MEDICARE: RONCI FAMILY DISCOUNT DRUGS,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	332B00000X	Durable Medical Equipment & Medical Supplies	02463850	OH
2	3336C0003X	Community/Retail Pharmacy	02-463850	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669460747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONCI FAMILY DISCOUNT DRUGS,INC

Provider Business Mailing Address
First Line	:	3307 CANFIELD RD
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44511-2811
Country	:	US
Telephone Number	:	330-792-7654
Fax Number	:	330-792-6802

Provider Business Practice Location Address
First Line	:	3307 CANFIELD RD
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44511-2811
Country	:	US
Telephone Number	:	330-792-7654
Fax Number	:	330-792-6802

Authorized Official
Title or Position	:	OWNER
Name	:	MR. WILLIAM M RONCI
Credential	:	RPH
Telephone Number	:	330-792-7654

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	10/24/2012

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