Healthcare Provider Details

I. General information

NPI: 1033538129
Provider Name (Legal Business Name): CUYAHOGA COUNTY CORRECTIONS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2014
Last Update Date: 04/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 W 3RD ST
CLEVELAND OH
44113-1532
US

IV. Provider business mailing address

1215 W 3RD ST
CLEVELAND OH
44113-1532
US

V. Phone/Fax

Practice location:
  • Phone: 216-443-7234
  • Fax: 216-443-6003
Mailing address:
  • Phone: 216-443-7234
  • Fax: 216-443-6003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: MR. IFTIKHAR HUSSAIN
Title or Position: PHARMACIST
Credential: RPH
Phone: 216-443-6208