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The Wellness Store, Inc.

NPI 1477755601ActiveOrganization· Pharmacy, Compounding Pharmacy· Mansfield, OH

Pharmacy, Compounding Pharmacy in Mansfield, Ohio, registered in NPPES in June 2007. The authorized official on file is James Bradley Roseborough, R.PH., President.

Overview

NPI1477755601
StatusActive
Entity typeOrganization
NPI issuedJun 1, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Compounding Pharmacy Primary3336C0004X—OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy, Compounding Pharmacy providers in Mansfield

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