National Provider Identifier Database

CRYSTAL CLINIC ORTHOPAEDIC CENTER LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
444 N MAIN ST FL 1
AKRON, OH44310-3110
Phone: 330-379-5125
Fax: 330-379-9086
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC

NPI Number 1467979971
Legal business name
LBN
CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
Authorized official PATRICIA WALDER - (MANAGER PHARMACY OPERATIONS)
Entity Organization
Organization subpart Yes
Enumeration date 08/25/2017
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: PMY02264650-03
  • OH Other: 3685293 NCPDP
  • OH Other: PMY-022646650-03 STATE OF OHIO BOARD OF PHARMACY

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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