Organization
MT PLEASANT PHARMACY LLC
Active
Other names
Mt Pleasant Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ASIEDU-GYEKYE (OWNER/RESPONSIBLE PHARMACIST)
(216) 200-2488
Entity
Organization
Contact information
Practice address
12395 MCCRACKEN RD STE G, GARFIELD HEIGHTS, OH 44125-2946
(216) 672-4377
(216) 475-4200
Mailing address
12395 MCCRACKEN RD, STE G, GARFIELD HEIGHTS, OH 44125-2967
(216) 672-4377
(216) 475-4200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RTP022169850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059210
—
OH
01
—
3680130
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/28/2011
Last updated
03/09/2012
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