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NPI Code Detail

MEDICARE: TAWNA LEIGH MANGOSH PHARMD, PHD, RPH

MEDICARE: TAWNA LEIGH MANGOSH PHARMD, PHD, RPH
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
1183500000XPharmacist03135775OH

General Provider Information

NPI Number : 1386507994
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAWNA LEIGH MANGOSH PHARMD, PHD, RPH
Provider Business Mailing Address
First Line : 8263 MULBERRY RD
Second Line :
City : CHESTERLAND
State : OH
Zip : 44026-1431
Country : US
Telephone Number : 440-474-2646
Fax Number :
Provider Business Practice Location Address
First Line : 10900 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4901
Country : US
Telephone Number : 440-474-2646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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