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COMMUNITY CARE NETWORK INC

Managed Care Organization Pharmacy

Cleveland, Ohio

Provider NPI: 1033296363

Organization Information:
Organization Name:  COMMUNITY CARE NETWORK INC


Practice Location:
3167 FULTON RD STE 111  CLEVELAND, OH 44109 US
Tel: 216-283-3865  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336S0011XSuppliers
Pharmacy
Specialty Pharmacy
N3336M0003XSuppliers
Pharmacy
N333600000XSuppliers
Pharmacy
Y3336L0003XSuppliers
Pharmacy
OH02154695003

Other Provider Identifiers:

IssuerNumberStateType
2586607OH05
PK208032701
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MANAGED CARE JOBS OH - Page 1



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