Healthcare Provider Details
I. General information
NPI: 1821703133
Provider Name (Legal Business Name): UH MEDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2023
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6681 RIDGE RD STE 100
PARMA OH
44129-5705
US
IV. Provider business mailing address
7007 POWERS BLVD
PARMA OH
44129-5437
US
V. Phone/Fax
- Phone: 440-743-4032
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHANE
BURNSWORTH
Title or Position: OPERATIONS COORDINATOR
Credential:
Phone: 440-935-2753