Organization
GIPS CO INVESTMENT CORP
Active
Other names
Lee- Silsby Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WRIGHT RPH (PHARMACY MANAGER)
(216) 321-4300
Entity
Organization
Contact information
Practice address
3216 SILSBY RD, CLEVELAND HEIGHTS, OH 44118-3428
(216) 321-4300
(213) 321-4303
Mailing address
3216 SILSBY RD, CLEVELAND HEIGHTS, OH 44118-3428
(216) 321-4300
(213) 321-4303
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
02-0620450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0794449
—
OH
Enumeration date
11/03/2006
Last updated
07/15/2008
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