# AMERIWELL BENEFICIAL COMMUNITY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AmeriWell pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871970004
- **Authorized official:** RAYMOND MURPHY BS PHARM (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (216) 283-3865

## Contact information

- **Practice address:** 9500 DETROIT AVE, CLEVELAND, OH 44102
- **Practice address phone:** (216) 283-3865
- **Practice address fax:** (216) 651-1590
- **Mailing address:** 9500 DETROIT AVE, CLEVELAND, OH 44102-1852
- **Mailing address phone:** (216) 283-3865
- **Mailing address fax:** (216) 651-1590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 022507050-03 | OH | Yes |

## Other

- **Enumeration date:** 04/27/2015
- **Last updated:** 07/12/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0142319 | — | OH |
| 01 | — | 2153710 | PK | — |