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Organization

HEALTHSPAN INTEGRATED CARE

Active
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Organization

HEALTHSPAN INTEGRATED CARE

Active
Other names
Kaiser Foundation Health Plan Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE B ROLSEN RPH (MGR, PHARM BUSINESS)
(216) 778-6050
Entity
Organization

Contact information

Practice address
10 SEVERANCE CIR, CLEVELAND HEIGHTS, OH 44118-1533
(216) 297-3803
(216) 297-2769
Mailing address
5420 LANCASTER DR, BROOKLYN HEIGHTS, OH 44131-1832
(216) 749-8408
(216) 749-8426

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
02033850
OH
3336M0003X
Managed Care Organization Pharmacy
Primary
020033850
OH

Other

Enumeration date
05/04/2007
Last updated
05/07/2014
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