Organization
CHURCH SQUARE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDEL ABUKHALIL (PHARMACIST)
(216) 288-0557
Entity
Organization
Contact information
Practice address
1956 E 79TH ST, CLEVELAND, OH 44103-4270
(216) 721-1772
(216) 721-1778
Mailing address
14529 PURITAS AVE, CLEVELAND, OH 44135-2813
(216) 721-1772
(216) 721-1778
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021802000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2824331
—
OH
Enumeration date
04/09/2008
Last updated
05/09/2025
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