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Organization
ST. AUGUSTINE SERVICES CORP.
Active
Organization
ST. AUGUSTINE SERVICES CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMUNA A. CARTER R.PH. (DIRECTOR OF PHARMACY)
(216) 634-7440
Entity
Organization
Contact information
Practice address
7801 DETROIT AVE, CLEVELAND, OH 44102-2813
(216) 634-7425
Mailing address
7801 DETROIT AVE, CLEVELAND, OH 44102-2813
(216) 634-7425
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0764249
—
OH
05
—
0852162
—
OH
Enumeration date
10/14/2005
Last updated
05/29/2024
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