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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 Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC

NPI Number 1467979971
LBN Legal business name CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
Authorized official PATRICIA WALDER - (MANAGER PHARMACY OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/25/2017
Last updated 03/07/2023 - About 3 years ago
Identifiers
OH License # PMY02264650-03
OH Other 3685293 NCPDP
OH Other PMY-022646650-03 STATE OF OHIO BOARD OF PHARMACY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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