MEDICARE: CLEVELAND WORX 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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1134808397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND WORX LLC

Provider Business Mailing Address
First Line	:	1525 25TH ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-3613
Country	:	US
Telephone Number	:	423-559-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1525 25TH ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-3613
Country	:	US
Telephone Number	:	423-559-3000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHAD SMITH
Credential	:
Telephone Number	:	423-802-6069

Provider Enumeration Date	:	07/14/2023
Last Update Date	:	02/02/2026

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Directions to “CLEVELAND WORX LLC ” Practice Location

Language	Start Address	Practice Location

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