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Organization

VA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GLENN ALAN MYERS CPHT (PHARMACY TECHNICIAN SUPERVISOR)
(216) 791-3800
Entity
Organization

Contact information

Practice address
10701 EAST BLVD., CLEVELAND, OH 44106
(216) 791-3800
(216) 231-3291
Mailing address
2260 PAR LANE SUITE 701, WILLOUGHBY HILLS, OH 44094-2948

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2001-1002-0801-247
IN

Other

Enumeration date
05/02/2007
Last updated
06/19/2008
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