Organization
MARYMOUNT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WASCOVICH (SENIOR DIRECTOR)
(216) 445-2357
Entity
Organization
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HTS, OH 44125
(216) 587-8124
(216) 587-8997
Mailing address
9500 EUCLID AVE JJ10, CLEVELAND, OH 44195
(216) 444-3401
(216) 445-0025
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020031150
OH
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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