# PARAM SANTOSH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TONY'S PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366247959
- **Authorized official:** DHAVALKUMAR SHAH (PHARMACIST)
- **Authorized official phone:** (216) 651-5700

## Contact information

- **Practice address:** 3114 CLARK AVE, CLEVELAND, OH 44109-1146
- **Practice address phone:** (216) 651-5700
- **Practice address fax:** (216) 744-2594
- **Mailing address:** 3114 CLARK AVE, CLEVELAND, OH 44109-1146
- **Mailing address phone:** (216) 651-5700
- **Mailing address fax:** (216) 744-2594

## Taxonomy

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

## Other

- **Enumeration date:** 02/17/2025
- **Last updated:** 02/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0151611 | — | OH |