# CENTRAL RX PHARMACY & MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033405113
- **Authorized official:** MR. LEMMA M GETACHEW (CEO)
- **Authorized official phone:** (216) 621-7700

## Contact information

- **Practice address:** 2475 E 22ND ST, CLEVELAND, OH 44115-3221
- **Practice address phone:** (216) 621-7700
- **Practice address fax:** (216) 295-0146
- **Mailing address:** 2475 E 22ND ST, CLEVELAND, OH 44115-3206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 06/27/2011