Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
Cleveland Clinic Hillcrest Ambulatory Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
(216) 636-7416
Entity
Organization
Contact information
Practice address
6770 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2299
(440) 312-5854
(440) 312-5856
Mailing address
6770 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2299
(440) 312-5854
(440) 312-5856
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
022587250-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159405
PK
—
Enumeration date
04/11/2016
Last updated
01/07/2025
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