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NPI Code Detail

MEDICARE: SIGNATURE HEALTH INC. PHARMACY

MEDICARE: SIGNATURE HEALTH INC. PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy
23336S0011XSpecialty PharmacyCLPH022312750OH
33336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1285072603
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIGNATURE HEALTH INC. PHARMACY
Provider Business Mailing Address
First Line : 21100 SOUTHGATE PARK BLVD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-3004
Country : US
Telephone Number : 216-395-1060
Fax Number :
Provider Business Practice Location Address
First Line : 21100 SOUTHGATE PARK BLVD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-3004
Country : US
Telephone Number : 216-395-1060
Fax Number :
Authorized Official
Title or Position : CHIEF PHARMACY OFFICER
Name : KELLEY S DRAGAR
Credential : PHARM D.
Telephone Number : 216-663-6100
Provider Enumeration Date : 06/07/2013
Last Update Date : 06/16/2025

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Directions to “SIGNATURE HEALTH INC. PHARMACY ” Practice Location

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