Marymount Family Pharmacy
LBN: Marymount Hospital
Marymount Family Pharmacy is an health care organization with primary practice located at 12000 Mccracken Rd Ste 151, Garfield Heights OH 44125-2964. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Marymount Hospital can be contacted via phone (216) 578-8822, or through Longville, Tim via phone (216) 636-7416.
Contact Information
Primary practice address
12000 Mccracken Rd Ste 151
Garfield Heights OH 44125-2964
Phone: (216) 578-8822
Fax: (216) 587-8844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Clinic Pharmacy | 3336C0002X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 021567350 | Ohio |
Profile Details
NPI number | 1811932049 |
---|---|
LBN Legal business name | Marymount Hospital |
DBA Doing business as | Marymount Family Pharmacy |
Authorized official | Longville, Tim MHA, RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 19th, 2006 |
Last updated | Oct 11th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811932049 | NPPES |
Other | 3674101 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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