Healthcare Provider Details

I. General information

NPI: 1073837340
Provider Name (Legal Business Name): JANET C SEKERAK RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 03/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5805 BIDDULPH AVE
CLEVELAND OH
44144-3314
US

IV. Provider business mailing address

5805 BIDDULPH AVE
CLEVELAND OH
44144-3314
US

V. Phone/Fax

Practice location:
  • Phone: 216-351-1761
  • Fax:
Mailing address:
  • Phone: 216-351-1761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03309033
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: