St Vincent Charity Medical Center Pharmacy

LBN: St Vincent Charity Medical Center
St Vincent Charity Medical Center Pharmacy is an health care organization with primary practice located at 2351 E 22Nd St , Cleveland OH 44115-3111. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. St Vincent Charity Medical Center can be contacted via phone (216) 861-6200, or through Rusnaczyk, John via phone (216) 363-7718.

Contact Information

Primary practice address
2351 E 22Nd St Cleveland OH 44115-3111
Fax:
Website:
Authorized official contact:
Name: Rusnaczyk, John

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1962566844
LBN Legal business name St Vincent Charity Medical Center
DBA Doing business as St Vincent Charity Medical Center Pharmacy
Authorized official Rusnaczyk, John
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Dec 1st, 2021 - about 3 years ago

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 1962566844 NPPES
Ohio MEDICAID 7649709
Ohio MEDICAID 3009523

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