# CHURCH SQUARE PHARMACY INC.

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

## Provider details

- **NPI number:** 1376716464
- **Authorized official:** MR. ABDEL ABUKHALIL (PHARMACIST)
- **Authorized official phone:** (216) 288-0557

## Contact information

- **Practice address:** 1956 E 79TH ST, CLEVELAND, OH 44103-4270
- **Practice address phone:** (216) 721-1772
- **Practice address fax:** (216) 721-1778
- **Mailing address:** 14529 PURITAS AVE, CLEVELAND, OH 44135-2813
- **Mailing address phone:** (216) 721-1772
- **Mailing address fax:** (216) 721-1778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 021802000 | OH | Yes |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 05/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2824331 | — | OH |