Healthcare Provider Details

I. General information

NPI: 1548685407
Provider Name (Legal Business Name): ROLAND JAMES ROVITO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 02/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BLVD INPATIENT PHARMACY 119(W)
CLEVELAND OH
44106-1702
US

IV. Provider business mailing address

10701 EAST BLVD INPATIENT PHARMACY 119(W)
CLEVELAND OH
44106-1702
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-3800
  • Fax: 216-707-6411
Mailing address:
  • Phone: 216-791-3800
  • Fax: 216-707-6411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03131800
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: