Organization
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
Active
Other names
Collinwood Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE F. AUSIN (PRESIDENT & CEO)
(216) 231-7700
Entity
Organization
Contact information
Practice address
15322 SAINT CLAIR AVE, CLEVELAND, OH 44110-3043
(216) 851-1500
Mailing address
15322 SAINT CLAIR AVE, CLEVELAND, OH 44110-3043
(216) 851-1500
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
020438450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154907
—
OH
Enumeration date
02/26/2007
Last updated
05/29/2008
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