Metrohealth Old Brooklyn Pharmacy

LBN: The Metrohealth System
Metrohealth Old Brooklyn Pharmacy is an health care organization with primary practice located at 4229 Pearl Rd Rm Sm280 , Cleveland OH 44109-4218. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. The Metrohealth System can be contacted via phone (216) 957-3910, or through Lewis, Daniel via phone (216) 778-7759.

Contact Information

Primary practice address
4229 Pearl Rd Rm Sm280 Cleveland OH 44109-4218
Phone: (216) 957-3910
Fax: (216) 957-2160
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Daniel
Phone: (216) 778-7759

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PMY02172595003 Ohio

Profile Details

NPI number 1942493663
LBN Legal business name The Metrohealth System
DBA Doing business as Metrohealth Old Brooklyn Pharmacy
Authorized official Lewis, Daniel
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 27th, 2007
Last updated May 9th, 2022 - about 2 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 1942493663 NPPES
Other 2081068 PK
MEDICAID 2796792 PK

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