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STATTON INC. NPI 1801966866


NPI Information

NPI: 1801966866
Provider Name: STATTON INC.

Doing Business As: HERBERT'S PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 36D2181439

Address:
270 EAST MAIN ST.
ANDOVER, OH
ZIP 44003
Phone: (440) 293-6358
Get Directions

STATTON INC. is a pharmacy in Andover, OH. The provider is 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. STATTON INC. NPI is 1801966866. The provider is registered as an organization entity type.
The provider Is Doing Business As Herbert's Pharmacy.

The provider's business location address is:

270 EAST MAIN ST.
ANDOVER, OH
ZIP 44003-087
Phone: (440) 293-6358
Fax: (440) 293-7251

The provider's authorized official is Bretton Clark Walberg .
The authorized official title is Owner and has the following contact phone number (440) 293-6358.

The CLIA number assigned to this NPI record is 36D2181439 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 5/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy021302450OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12308041MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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