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Organization

THE CLEVELAND CLINIC FOUNDATION

Active
Other names
South Pointe Hospital 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
4110 WARRENSVILLE CENTER RD, WARRENSVILLE HTS, OH 44122-7024
(216) 491-7165
(216) 491-7167
Mailing address
9500 EUCLID AVE, JJ10, CLEVELAND, OH 44195
(216) 445-2357
(216) 445-0025

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
020824850
OH

Other

Enumeration date
04/10/2012
Last updated
10/11/2023
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