Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
Cleveland Clinic Childrens Ambulatory Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
(216) 636-7416
Entity
Organization
Contact information
Practice address
8950 EUCLID AVE, CLEVELAND, OH 44106-2971
(216) 444-9525
(216) 445-0025
Mailing address
9500 EUCLID AVE, JJ10, CLEVELAND, OH 44195-2971
(216) 444-9525
(216) 445-0025
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
02-1237150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210262
—
OH
Enumeration date
11/18/2005
Last updated
01/07/2025
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