National Provider Identifier Database

CHURCH SQUARE PHARMACY INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

CHURCH SQUARE PHARMACY INC.
3107 CLARK AVE
CLEVELAND, OH44109-1145
Phone: 216-651-8685
Fax: 216-651-8766
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for CHURCH SQUARE PHARMACY INC.

NPI Number 1326376310
Legal business name
LBN
CHURCH SQUARE PHARMACY INC.
Authorized official ABDEL ABUKHALIL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/02/2009
Last updated 05/09/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 022004150
  • OH Medicaid: 3013358
  • Other: 2122864 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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