Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Church Square Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1376716464

Church Square Pharmacy Inc is a Community/Retail Pharmacy in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2008.

Licensed in
OH
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1956 E 79th St
Cleveland, OH 44103-4270
Phone: (216) 721-1772
Fax: (216) 721-1778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 021802000 (OH)

Record details

NPI number1376716464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdel Abukhalil — Pharmacist · (216) 288-0557
NPI enumeratedApril 9, 2008
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address14529 Puritas Ave, Cleveland, OH 44135-2813

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