Healthcare Provider Details

I. General information

NPI: 1205327095
Provider Name (Legal Business Name): NEIGHBORHOOD HEALTH CARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3569 RIDGE RD
CLEVELAND OH
44102-5443
US

IV. Provider business mailing address

4115 BRIDGE AVE STE 300
CLEVELAND OH
44113-3304
US

V. Phone/Fax

Practice location:
  • Phone: 216-281-8945
  • Fax: 216-631-5800
Mailing address:
  • Phone: 216-281-8945
  • Fax: 216-631-5800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN POSENDEK
Title or Position: PHARMACY DIRECTOR
Credential: PHARMD, BCACP
Phone: 216-281-8945