Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
Taussig 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
10201 CARNEGIE AVE, CLEVELAND, OH 44106-2130
(216) 445-2124
(216) 445-0025
Mailing address
9500 EUCLID AVENUE, JJ10, CLEVELAND, OH 44195-2971
(216) 445-2124
(216) 445-2172
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
02-1223400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207909
—
OH
Enumeration date
11/18/2005
Last updated
01/07/2025
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