| NPI | 1699278325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH HALLORAN Third Party Coordinator 216-265-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |