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Organization
PARAM SANTOSH LLC
Active
Organization
PARAM SANTOSH LLC
Active
Other names
TONY'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DHAVALKUMAR SHAH (PHARMACIST)
(216) 651-5700
Entity
Organization
Contact information
Practice address
3114 CLARK AVE, CLEVELAND, OH 44109-1146
(216) 651-5700
(216) 744-2594
Mailing address
3114 CLARK AVE, CLEVELAND, OH 44109-1146
(216) 651-5700
(216) 744-2594
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151611
—
OH
Enumeration date
02/17/2025
Last updated
02/25/2025
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