Organization · Type 2 NPI

Dedicated Ohio Holding LLC

Non-Pharmacy Dispensing Site · Cleveland, OH

NPI number 1295368397 Active

Practice location

13719 Lorain Ave
Cleveland, OH 44111-3439

Call (216) 307-3005 Map

Mailing address

1395 NW 167th St
Miami, FL 33169-5710

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

10 other providers at this address

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NPI record

NPI: 1295368397
Entity type: Organization (Type 2)
Issued: Feb 17, 2020
Last updated: Apr 23, 2020
Status: Active
Subpart: Yes of Dedicated Ohio Holding LLC

Other names

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Dedicated Senior Medical Center West Park · doing business as
Dedicated Senior Medical Center West Park · doing business as

Authorized official

Mary Chen
Owner
(305) 628-6117

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About NPI 1295368397

Dedicated Ohio Holding LLC's National Provider Identifier is 1295368397, issued on Feb 17, 2020. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Cleveland, OH. The record was last updated on Apr 23, 2020.