MEDICARE: DR. BOBBI MICHELLE ONEAL PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03444050	OH
2	3336M0003X	Managed Care Organization Pharmacy
3	183500000X	Pharmacist	011380	KY

General Provider Information

NPI Number	:	1366825275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BOBBI MICHELLE ONEAL PHARMD

Provider Business Mailing Address
First Line	:	100 AMERICAN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44144-2322
Country	:	US
Telephone Number	:	216-687-7891
Fax Number	:	216-687-7185

Provider Business Practice Location Address
First Line	:	100 AMERICAN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44144-2322
Country	:	US
Telephone Number	:	216-687-7891
Fax Number	:	216-687-7185

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2015
Last Update Date	:	02/05/2026

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