Organization
CLEVELAND COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA PUPILLO PHARMD (STATUTORY AGENT)
(216) 352-3985
Entity
Organization
Contact information
Practice address
5511 STATE RD, PARMA, OH 44134-2251
(216) 509-1515
Mailing address
309 VILLAGE DR, BROADVIEW HTS, OH 44147-3474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
07/23/2021
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