# ST. AUGUSTINE SERVICES CORP.

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

## Provider details

- **NPI number:** 1235128034
- **Authorized official:** MR. EDMUNA A. CARTER R.PH. (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (216) 634-7440

## Contact information

- **Practice address:** 7801 DETROIT AVE, CLEVELAND, OH 44102-2813
- **Practice address phone:** (216) 634-7425
- **Mailing address:** 7801 DETROIT AVE, CLEVELAND, OH 44102-2813
- **Mailing address phone:** (216) 634-7425

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2005
- **Last updated:** 05/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0764249 | — | OH |
| 05 | — | 0852162 | — | OH |