Organization
COMMUNITY CARE NETWORK INC
Active
Other names
COMMUNITY CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAY MYERS RPH (DIRECTOR OF PHARMACY)
(216) 283-3865
Entity
Organization
Contact information
Practice address
3167 FULTON RD STE 111, CLEVELAND, OH 44109-1465
(216) 283-3865
(216) 651-1590
Mailing address
3167 FULTON RD, STE. 111, CLEVELAND, OH 44109-1465
(216) 283-3865
(216) 651-1590
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
02154695003
OH
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080327
PK
—
05
—
2586607
—
OH
Enumeration date
11/01/2006
Last updated
11/08/2013
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