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Organization
OHIOGUIDESTONE PHARMACY LLC
Active
Organization
OHIOGUIDESTONE PHARMACY LLC
Active
Other names
Community Care Network, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANAND PANDYA (DIRECTOR OF PHARMACY OPERATIONS)
(440) 260-8892
Entity
Organization
Contact information
Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(440) 260-8892
(216) 361-9273
Mailing address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(440) 260-8892
(216) 361-9273
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PMY.022489300-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153035
PK
—
Enumeration date
12/20/2011
Last updated
04/19/2017
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