Healthcare Provider Details

I. General information

NPI: 1467738732
Provider Name (Legal Business Name): GARFIELD LOWCOST PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2011
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11201 SHAKER BLVD STE 126
CLEVELAND OH
44104-3833
US

IV. Provider business mailing address

401 CLEVELAND ST
ELYRIA OH
44035-6143
US

V. Phone/Fax

Practice location:
  • Phone: 216-795-4000
  • Fax: 216-795-4001
Mailing address:
  • Phone: 440-309-4036
  • Fax: 440-309-4037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number022165800
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. ABEDALHAKEEM ABUKHALIL
Title or Position: PRESIDENT
Credential: PHARMD, PHD
Phone: 440-309-4036