# SIGNATURE HEALTH INC

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

## Provider details

- **NPI number:** 1093138299
- **Authorized official:** KELLEY S DRAGAR PHARMD (CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (440) 578-8200

## Contact information

- **Practice address:** 14701 DETROIT AVE FL 6, LAKEWOOD, OH 44107-4115
- **Practice address phone:** (216) 737-0450
- **Mailing address:** 14701 DETROIT AVE FL 6, LAKEWOOD, OH 44107-4115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2014
- **Last updated:** 06/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0108205 | — | OH |