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Organization

THE CLEVELAND CLINIC FOUNDATION

Active
Other names
CC Mansfield Cancer Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
(216) 636-7416
Entity
Organization

Contact information

Practice address
1125 ASPIRA CT, MANSFIELD, OH 44906-4125
(419) 756-2122
Mailing address
9500 EUCLID AVE, JJ10, CLEVELAND, OH 44195-0001

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022412450
OH

Other

Enumeration date
08/14/2014
Last updated
01/07/2025
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