Organization
METROHEALTH CONCORDIA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SPEARS RPH (PHARMACY MANAGER)
(216) 791-3580
Entity
Organization
Contact information
Practice address
2373 EUCLID HEIGHTS BLVD RM 101, CLEVELAND HEIGHTS, OH 44106-2705
(216) 791-3580
(216) 791-3281
Mailing address
PO BOX 73122, CLEVELAND, OH 44193-0002
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
021459150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022886
—
OH
01
—
3674517
OTHER ID NUMBER
—
Enumeration date
05/11/2006
Last updated
05/30/2008
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