Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
Euclid Ave Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM LONGVILLE (CHIEF ACCOUNTING OFFICER AND CONTRO)
(216) 636-7416
Entity
Organization
Contact information
Practice address
9211 EUCLID AVE, JJ10 PHARMACY, CLEVELAND, OH 44106-2043
(216) 444-2100
(216) 445-0025
Mailing address
9211 EUCLID AVE, CLEVELAND, OH 44106-2043
(216) 444-2100
(216) 445-0025
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
02-0079600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1563704
—
OH
Enumeration date
11/09/2005
Last updated
09/06/2023
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