Lake Health-university Hospitals Seidman Cancer Center
Clinic Pharmacy
9485 Mentor Ave Ste 3, Mentor
Ohio, 44060-8711
440-205-5755 Lake Health-university Hospitals Seidman Cancer Center is a Clinic Pharmacy in Mentor, Ohio. It is located at 9485 Mentor Ave Ste 3, Mentor and it's customer support contact number is 440-205-5755. The authorized person of Lake Health-university Hospitals Seidman Cancer Center is Julie Moran who is Executive Director of the pharmacy and his contact number is 440-205-5755. Active license number of Lake Health-university Hospitals Seidman Cancer Center is 021034800 for Clinic Pharmacy in Ohio. Lake Health-university Hospitals Seidman Cancer Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lake Health-university Hospitals Seidman Cancer Center is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Lake Health-university Hospitals Seidman Cancer Center type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Lake Health-university Hospitals Seidman Cancer Center |
| Type: | Clinic Pharmacy |
| Location: | 9485 Mentor Ave Ste 3, Mentor,
Ohio, 44060-8711 |
| Phone: | 440-205-5755 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Julie Moran |
| Position: | Executive Director |
| Contact Number: | 440-205-5755 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1629484225 |
| NPI Enumeration Date: | 03 Jul, 2014 |
| NPI Last Update On: | 26 Jan, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Health-university Hospitals Seidman Cancer Center are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 021034800 | Ohio | Primary | |
Medicare Enrollment:
Lake Health-university Hospitals Seidman Cancer Center is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6305830845 | O20141217002090 | Lake Health/university Hospitals Seidman Cancer Center | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9485 Mentor Ave Ste 3,
Mentor, Ohio |
| Zip: | 44060-8711 |
| Phone Number: | 440-205-5755 |
Patients can reach Lake Health-university Hospitals Seidman Cancer Center at
9485 Mentor Ave Ste 3, Mentor, Ohio or can
call on customer care at 440-205-5755.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.