North East Ohio Health Services
Pharmacy, Long Term Care Pharmacy in Mentor, OH. Organization (NPI-2).
NPI number1487077798
StatusActive
Last updated in NPPESJan 23, 2014
Details
- NPI
- 1487077798
- Entity type
- Organization (NPI-2)
- Legal business name
- North East Ohio Health Services
- Organization subpart
- No
- Enumeration date
- Jan 23, 2014
- Last updated
- Jan 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – |
Other names
- Connections - Health.Wellness.Advocacy (Doing Business As)
Practice location
9220 Mentor AveMentor, OH 44060-6412
Phone 440-354-9924
Mailing address
24200 Chagrin BlvdBeachwood, OH 44122-5550
Phone 216-831-6466 · Fax 216-766-6085
Authorized official
Randall Hyde
Pharmacy Developer
2168316466
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