MEDICARE: GARFIELD LOWCOST PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1093577256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARFIELD LOWCOST PHARMACY LLC

Provider Business Mailing Address
First Line	:	401 CLEVELAND ST
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-6143
Country	:	US
Telephone Number	:	440-309-4036
Fax Number	:	440-309-4037

Provider Business Practice Location Address
First Line	:	12940 LORAIN AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-2612
Country	:	US
Telephone Number	:	216-999-7120
Fax Number	:	216-999-7140

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ABEDALHAKEEM ABUKHALIL
Credential	:	PHARMD, PHD
Telephone Number	:	440-309-4036

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	10/07/2025

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