Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
Cleveland Clinic Specialty/Home Delivery Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MEDVE (DIRECTOR)
(216) 973-3321
Entity
Organization
Contact information
Practice address
3175 SCIENCE PARK DR, AC4B-103, BEACHWOOD, OH 44122-7327
(216) 448-4200
(216) 448-5603
Mailing address
9500 EUCLID AVE, AC5B-137, CLEVELAND, OH 44195-0001
(216) 448-4200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PMY.022003350-0
OH
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169543
PK
—
Enumeration date
05/22/2018
Last updated
01/06/2022
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