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Organization
UPCO, LTD
Active
Organization
UPCO, LTD
Active
Other names
CedarFairmount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH EDWARD CARYER R.PH. (MANAGER)
(216) 795-1030
Entity
Organization
Contact information
Practice address
2458 FAIRMOUNT BLVD, CLEVELAND HEIGHTS, OH 44106-3131
(216) 795-1030
(216) 795-1712
Mailing address
2458 FAIRMOUNT BLVD, CLEVELAND HEIGHTS, OH 44106-3131
(216) 795-1030
(216) 795-1712
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
02-838700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171291
—
OH
01
—
3619559
NABP
—
Enumeration date
02/26/2007
Last updated
08/22/2020
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