Healthcare Provider Details

I. General information

NPI: 1346956661
Provider Name (Legal Business Name): UH MEDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 05/26/2024
Certification Date: 05/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29000 CENTER RIDGE RD STE 403
WESTLAKE OH
44145-5219
US

IV. Provider business mailing address

29000 CENTER RIDGE RD
WESTLAKE OH
44145-5219
US

V. Phone/Fax

Practice location:
  • Phone: 440-827-5122
  • Fax: 216-201-7153
Mailing address:
  • Phone: 440-827-5122
  • Fax: 216-201-7153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHANE BURNSWORTH
Title or Position: OPERATIONS COORDINATOR
Credential:
Phone: 440-935-2753