Organization · Type 2 NPI

Healthspan Integrated Care

Managed Care Organization Pharmacy · Cleveland Heights, OH

NPI number 1790997773 Active

Practice location

10 Severance Cir
Cleveland Heights, OH 44118-1533

Fax (216) 297-2769

Mailing address

5420 Lancaster Dr
Brooklyn Heights, OH 44131-1832

Specialties and licenses

TaxonomyCodeLicense
Clinic Pharmacy 3336C0002X02033850 (OH)
Managed Care Organization Pharmacy Primary 3336M0003X020033850 (OH)

Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

79 other providers at this address

About NPI 1790997773

Healthspan Integrated Care's National Provider Identifier is 1790997773, issued on May 4, 2007. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Cleveland Heights, OH. The record was last updated on May 7, 2014.