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	3336L0003X	Long Term Care Pharmacy
2	333600000X	Pharmacy	022165800	OH
3	3336S0011X	Specialty Pharmacy
4	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1467738732
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	:	11201 SHAKER BLVD STE 126
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-3833
Country	:	US
Telephone Number	:	216-795-4000
Fax Number	:	216-795-4001

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

Provider Enumeration Date	:	10/31/2011
Last Update Date	:	01/02/2026

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