# DAVE'S SUPERMARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dave's pharmacy 14
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760688030
- **Authorized official:** MR. JOEL M WOLFE PHARMACIST (PHARMACY MANAGER)
- **Authorized official phone:** (216) 361-0735

## Contact information

- **Practice address:** 16820 HARVARD AVE, CLEVELAND, OH 44128-2208
- **Practice address phone:** (216) 991-8648
- **Practice address fax:** (216) 991-8655
- **Mailing address:** 16820 HARVARD AVE, CLEVELAND, OH 44128
- **Mailing address phone:** (216) 991-8648
- **Mailing address fax:** (216) 991-8655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 01-1713000 | OH | Yes |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 08/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2754327 | — | OH |