Provider Demographics
NPI:1497216352
Name:CLEVELAND PHARMACY INC
Entity Type:Organization
Organization Name:CLEVELAND PHARMACY INC
Other - Org Name:CLEVELAND PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:ELSAYEED AHMED
Authorized Official - Last Name:ELSAYED
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:559-395-4127
Mailing Address - Street 1:2311 W CLEVELAND AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-8766
Mailing Address - Country:US
Mailing Address - Phone:559-395-4127
Mailing Address - Fax:559-517-3646
Practice Address - Street 1:483 E ALMOND AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5747
Practice Address - Country:US
Practice Address - Phone:559-395-4127
Practice Address - Fax:559-517-3646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy