NPI | 1346305554 |
---|---|
Doing Business As | MARTIN MEMORIAL MEDICAL CENTER OUTPATIENT PHARMACY |
Entity Type | Organization |
Authorized Contact | TIMOTHY L. LONGVILLE Chief Accounting Officer/Controller 216-636-7416 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH9554) |
Additional Taxonomies | 333600000X Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2022-12-08 |