Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
Crile Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
(216) 636-7416
Entity
Organization
Contact information
Practice address
2049 E 100TH ST, CLEVELAND, OH 44195-0001
(216) 445-7400
(216) 445-7403
Mailing address
2049 E 100TH ST, CLEVELAND, OH 44195-0001
(216) 445-7400
(216) 445-7403
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
02-0925550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004717
—
OH
Enumeration date
11/18/2005
Last updated
01/09/2025
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