# LEE SILSBY COMPOUNDING PHARMACY LLC

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

## Provider details

- **NPI number:** 1356028484
- **Authorized official:** BRIAN HARRISON PHARM D (OWNER)
- **Authorized official phone:** (704) 258-7076

## Contact information

- **Practice address:** 23865 MERCANTILE RD, BEACHWOOD, OH 44122-5907
- **Practice address phone:** (216) 312-4300
- **Mailing address:** 23865 MERCANTILE RD, BEACHWOOD, OH 44122-5907
- **Mailing address phone:** (216) 312-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2023
- **Last updated:** 06/30/2023