Organization
WESTERN RESERVE HOSPITAL, LLC
Active
Other names
Summa Western Reserve Hospital, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STRATTON (PHARMACY MANAGER)
(330) 971-7393
Entity
Organization
Contact information
Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7393
(330) 971-7394
Mailing address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7393
(330) 971-7394
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021965450
OH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120779
PK
—
05
—
2964494
—
OH
Enumeration date
01/22/2009
Last updated
01/05/2018
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