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NPI Code Detail

MEDICARE: THE CENTERS FOR FAMILIES AND CHILDREN PHARMACY # 2

MEDICARE: THE CENTERS FOR FAMILIES AND CHILDREN PHARMACY # 2
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
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22131637OTHERPK

General Provider Information

NPI Number : 1477832822
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTERS FOR FAMILIES AND CHILDREN PHARMACY # 2
Provider Business Mailing Address
First Line : 3929 ROCKY RIVER DR STE P-101
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-4153
Country : US
Telephone Number : 216-252-5800
Fax Number : 216-252-9055
Provider Business Practice Location Address
First Line : 3929 ROCKY RIVER DR STE P-101
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-4153
Country : US
Telephone Number : 216-252-5800
Fax Number : 216-252-9055
Authorized Official
Title or Position : RCM
Name : DANIEL FRECH
Credential :
Telephone Number : 216-373-2846
Provider Enumeration Date : 08/16/2011
Last Update Date : 01/25/2019

Similar Medicare Providers

1174670780 — MS. CHRISTINA M. SALEM LPCC-S
Practice Location Address:
3929 ROCKY RIVER DR
CLEVELAND, OH
44111-4153
Practice Phone: 440-332-4245
Practice Fax: 216-252-9055
1326216045 — CENTER FOR FAMILIES AND CHILDREN
Practice Location Address:
3929 ROCKY RIVER DR
CLEVELAND, OH
44111-4153
Practice Phone: 216-252-5800
Practice Fax: 216-252-9055
1497076822 — CARLENE L KOVACH
Practice Location Address:
3929 ROCKY RIVER DR
CLEVELAND, OH
44111-4153
Practice Phone: 216-252-5800
Practice Fax:
1881983245 — SHIESHA MALIK OLIVER-WACHIRA RN
Practice Location Address:
3929 ROCKY RIVER DR
CLEVELAND, OH
44111-4153
Practice Phone: 216-252-5800
Practice Fax:
1790061935 — MRS. DEBORAH MARIA WARD R.PH.
Practice Location Address:
3929 ROCKY RIVER DR
CLEVELAND, OH
44111-4153
Practice Phone: 216-938-9435
Practice Fax: 216-493-7044
1669813432 — MRS. KELLEY KAUFFMAN CNP, MSN
Practice Location Address:
3929 ROCKY RIVER DR
CLEVELAND, OH
44111-4153
Practice Phone: 216-252-5800
Practice Fax:

Directions to “THE CENTERS FOR FAMILIES AND CHILDREN PHARMACY # 2 ” Practice Location

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