# M.A.G PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M.A.G PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710332085
- **Authorized official:** MICHAEL ASIEDU-GYEKYE (PHARMACIST IIN CHARGE)
- **Authorized official phone:** (216) 889-3628

## Contact information

- **Practice address:** 18325 EUCLID AVE, CLEVELAND, OH 44112
- **Practice address phone:** (216) 889-3628
- **Mailing address:** PO BOX 10598, CLEVELAND, OH 44110-0598
- **Mailing address phone:** (216) 889-3628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 022581600 | OH | Yes |

## Other

- **Enumeration date:** 04/25/2016
- **Last updated:** 01/26/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2159642 | PK | — |
