Organization

Broweyed Druggist, Llc

May also be knows as Dba St. Paris Pharmacy

Community/Retail Pharmacy in St. Paris, OH(View on Map)

Legal Business Name

Broweyed Druggist, Llc

Also Known As

Dba St. Paris Pharmacy

NPI Number

1477861417

NPI Type

Organization

Enumeration Date

09/23/2010

Specialties

(Taxonomies)

Code

3336C0003X
3336C0004X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Ohio

License Number

RTP022368550

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 586
122 S. SPRINGFIELD ST.

City

St. Paris
St. Paris

State

OH
OH

Postal Code

43072
43072-7704

Country

US
US

Telephone Number

(937) 663-6001
(937) 663-6001

Authorized Official

Name

Craig Carafa

Title or Position

OWNER/ RESPONSIBLE PERSON

Telephone Number

(937) 663-6001

Identifiers

Identifier

2144359
0096996

Identifier State

Unknown
OH

Identifier Issuer

PK
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/03/2021

Provider Address

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