Organization
CLEVELAND COMPOUNDING INC
Active
Other names
CLEVELAND COMPOUNDING INC
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HARDEN RPH (MANG)
(704) 487-1971
Entity
Organization
Contact information
Practice address
701 2 EAST GROVER ST, SHELBY, NC 28150
(704) 487-1971
(704) 487-1971
Mailing address
701 2 EAST GROVER ST, SHELBY, NC 28150
(704) 487-2939
(704) 487-2811
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10058
NC
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3411092
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/20/2008
Last updated
12/31/2012
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