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Organization

CRP PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GUENET INDALE PHD (OWNER)
(216) 288-5992
Entity
Organization

Contact information

Practice address
10567 SAINT CLAIR AVE, CLEVELAND, OH 44108-1973
(855) 856-9582
Mailing address
10567 ST. CLAIR AVE, CLEVELAND, OH 44108

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
022392900
OH

Other

Enumeration date
05/21/2014
Last updated
08/15/2014
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