Provider Demographics
NPI:1447261086
Name:KIDS N CURES
Entity type:Organization
Organization Name:KIDS N CURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:330-372-2255
Mailing Address - Street 1:8720 E MARKET ST
Mailing Address - Street 2:STE 7
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2364
Mailing Address - Country:US
Mailing Address - Phone:330-372-2255
Mailing Address - Fax:330-372-9995
Practice Address - Street 1:8720 E MARKET ST
Practice Address - Street 2:STE 7
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2364
Practice Address - Country:US
Practice Address - Phone:330-372-2255
Practice Address - Fax:330-372-9995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0215927003336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2664184Medicaid
3674769OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3674769OtherOTHER ID NUMBER-COMMERCIAL NUMBER