Organization
DAVE'S SUPERMARKETS INC
Active
Other names
dave's pharmacy 14
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL M WOLFE PHARMACIST (PHARMACY MANAGER)
(216) 361-0735
Entity
Organization
Contact information
Practice address
16820 HARVARD AVE, CLEVELAND, OH 44128-2208
(216) 991-8648
(216) 991-8655
Mailing address
16820 HARVARD AVE, CLEVELAND, OH 44128
(216) 991-8648
(216) 991-8655
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01-1713000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2754327
—
OH
Enumeration date
06/25/2007
Last updated
08/12/2008
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