Organization
ST. AUGUSTINE SERVICES CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMUNA A. CARTER R.PH. (DIRECTOR OF PHARMACY)
(216) 634-7440
Entity
Organization
Contact information
Practice address
7801 DETROIT AVE, CLEVELAND, OH 44102-2813
(216) 634-7425
Mailing address
7801 DETROIT AVE, CLEVELAND, OH 44102-2813
(216) 634-7425
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0764249
—
OH
05
—
0852162
—
OH
Enumeration date
10/14/2005
Last updated
05/29/2024
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