Lake Health-University Hospitals Seidman Cancer Center
Pharmacy, Clinic Pharmacy in Mentor, OH. Organization (NPI-2).
NPI number1629484225
StatusActive
Last updated in NPPESJan 26, 2015
Details
- NPI
- 1629484225
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Health-University Hospitals Seidman Cancer Center
- Organization subpart
- No
- Enumeration date
- Jul 3, 2014
- Last updated
- Jan 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0002X | Pharmacy, Clinic Pharmacy | 021034800 | OH | Yes |
Practice location
9485 Mentor Ave Ste 3Mentor, OH 44060-8711
Phone 440-205-5755
Mailing address
9485 Mentor Ave Ste 3Mentor, OH 44060-8711
Phone 440-205-5755
Authorized official
Julie Moran
Executive Director
4402055755
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