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Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
CC Mansfield Cancer Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
(216) 636-7416
Entity
Organization
Contact information
Practice address
1125 ASPIRA CT, MANSFIELD, OH 44906-4125
(419) 756-2122
Mailing address
9500 EUCLID AVE, JJ10, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022412450
OH
Other
Enumeration date
08/14/2014
Last updated
01/07/2025
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