Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
Cleveland Clinic Independence Ambulatory Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
(216) 636-7416
Entity
Organization
Contact information
Practice address
5001 ROCKSIDE RD, CROWN CENTER #2, INDEPENDENCE, OH 44131-2172
(216) 986-4610
(216) 445-0025
Mailing address
9500 EUCLID AVE JJ10, CLEVELAND, OH 44195
(216) 445-2357
(216) 445-0025
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022360800
OH
Other
Enumeration date
11/18/2013
Last updated
01/07/2025
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