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Organization
M.A.G PHARMACY
Active
Organization
M.A.G PHARMACY
Active
Other names
M.A.G PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ASIEDU-GYEKYE (PHARMACIST IIN CHARGE)
(216) 889-3628
Entity
Organization
Contact information
Practice address
18325 EUCLID AVE, CLEVELAND, OH 44112
(216) 889-3628
Mailing address
PO BOX 10598, CLEVELAND, OH 44110-0598
(216) 889-3628
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
022581600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159642
PK
—
Enumeration date
04/25/2016
Last updated
01/26/2017
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