Organization
SIGNATURE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY S DRAGAR PHARMD (CHIEF PHARMACY OFFICER)
(440) 578-8200
Entity
Organization
Contact information
Practice address
14701 DETROIT AVE FL 6, LAKEWOOD, OH 44107-4115
(216) 737-0450
Mailing address
14701 DETROIT AVE FL 6, LAKEWOOD, OH 44107-4115
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108205
—
OH
Enumeration date
01/24/2014
Last updated
06/16/2025
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