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Organization
LEE SILSBY COMPOUNDING PHARMACY LLC
Active
Organization
LEE SILSBY COMPOUNDING PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HARRISON PHARM D (OWNER)
(704) 258-7076
Entity
Organization
Contact information
Practice address
23865 MERCANTILE RD, BEACHWOOD, OH 44122-5907
(216) 312-4300
Mailing address
23865 MERCANTILE RD, BEACHWOOD, OH 44122-5907
(216) 312-4300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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