# CRP PHARMACY LLC

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

## Provider details

- **NPI number:** 1609288976
- **Authorized official:** GUENET INDALE PHD (OWNER)
- **Authorized official phone:** (216) 288-5992

## Contact information

- **Practice address:** 10567 SAINT CLAIR AVE, CLEVELAND, OH 44108-1973
- **Practice address phone:** (855) 856-9582
- **Mailing address:** 10567 ST. CLAIR AVE, CLEVELAND, OH 44108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 022392900 | OH | Yes |

## Other

- **Enumeration date:** 05/21/2014
- **Last updated:** 08/15/2014