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
Fax: (216) 587-8844
Website:
Authorized official contact:
Name: Longville, Tim MHA, RPH

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811932049 NPPES
Other 3674101 NCPDP PROVIDER IDENTIFICATION NUMBER

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