LUCILLE R. VERNADAKIS
35053 Royalton Rd
Grafton, OH 44044
440-748-2137
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | OH | 020168550 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0431189 | OH | MEDICAID |