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NPI 1649112939

NPI 1649112939 : CLEVELAND PHARMACY INC : MADERA, CA

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General NPI Number Information
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    NPI Number           |    1649112939
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLEVELAND PHARMACY INC 
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Dates
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    Enumeration Date     |    04/07/2026
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    Last Update Date     |    04/07/2026
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Provider Practice Location Address
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    Address Line         |    483 E ALMOND AVE STE 102 
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    City                 |    MADERA
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    State                |    CA
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    Zip                  |    93637-5748
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    Country              |    US
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    Telephone            |    559-395-4127
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    Fax                  |    559-517-3646
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Provider Business Mailing Address
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    Address Line         |    483 E ALMOND AVE STE 102 
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    City                 |    MADERA
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    State                |    CA
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    Zip                  |    93637-5748
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    Country              |    US
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    Telephone            |    559-395-4127
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    Fax                  |    559-517-3646
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     MOHAMED  ELSAYED 
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    Credential           |    
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    Telephone            |    559-395-4127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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