# SIGNATURE HEALTH INC. PHARMACY

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

## Provider details

- **NPI number:** 1285072603
- **Authorized official:** KELLEY S DRAGAR PHARM D. (CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (216) 663-6100

## Contact information

- **Practice address:** 21100 SOUTHGATE PARK BLVD, MAPLE HEIGHTS, OH 44137-3004
- **Practice address phone:** (216) 395-1060
- **Mailing address:** 21100 SOUTHGATE PARK BLVD, MAPLE HEIGHTS, OH 44137-3004
- **Mailing address phone:** (216) 395-1060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | CLPH022312750 | OH | — |

## Other

- **Enumeration date:** 06/07/2013
- **Last updated:** 06/16/2025