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General NPI Number Information
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NPI Number | 1588049779
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Entity Type | Organization
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Legal Business Name | CARE ALLIANCE PHARMACY
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 2916 CENTRAL AVE
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City | CLEVELAND
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State | OH
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Zip | 44115-3229
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Country | US
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Telephone | 216-535-9100
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Fax | 216-535-2626
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Provider Business Mailing Address
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Address Line | 2916 CENTRAL AVE
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City | CLEVELAND
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State | OH
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Zip | 44115-3229
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Country | US
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Telephone | 216-535-9100
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Fax | 216-535-2626
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Authorized Official
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Title or Position | CFO
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Name | DERRICK HOWELL
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Credential |
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Telephone | 216-535-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RTP.022517800-03
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License Number State | OH
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