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Organization
COMMUNITY CARE NETWORK INC
Active
Organization
COMMUNITY CARE NETWORK INC
Active
Other names
COMMUNITY CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAY MYERS RPH (DIRECTOR OF PHARMACY)
(216) 283-3865
Entity
Organization
Contact information
Practice address
3167 FULTON RD STE 111, CLEVELAND, OH 44109-1465
(216) 283-3865
(216) 651-1590
Mailing address
3167 FULTON RD, STE. 111, CLEVELAND, OH 44109-1465
(216) 283-3865
(216) 651-1590
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
02154695003
OH
3336M0003X
Managed Care Organization Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080327
PK
—
05
—
2586607
—
OH
Enumeration date
11/01/2006
Last updated
11/08/2013
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