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
3275 SCIENCE PARK DRIVE, AC5-B-137, BEACHWOOD, OH 44122
(216) 448-7732
(216) 448-5601
Mailing address
9500 EUCLID AVE, AC5-B-137, CLEVELAND, OH 44195-0001
(216) 448-7732
(216) 448-5601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
CPO.022423950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148363
PK
—
Enumeration date
10/17/2014
Last updated
01/06/2022
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