# THE CLEVELAND CLINIC FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CC Mansfield Cancer Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730588955
- **Authorized official:** TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
- **Authorized official phone:** (216) 636-7416

## Contact information

- **Practice address:** 1125 ASPIRA CT, MANSFIELD, OH 44906-4125
- **Practice address phone:** (419) 756-2122
- **Mailing address:** 9500 EUCLID AVE, JJ10, CLEVELAND, OH 44195-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 022412450 | OH | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 01/07/2025