Healthcare Provider Details

I. General information

NPI: 1578484663
Provider Name (Legal Business Name): HUNTER ALLAN BEHRENDT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BLVD
CLEVELAND OH
44106-1702
US

IV. Provider business mailing address

33933 CLARK DR
NORTH RIDGEVILLE OH
44039-4112
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03447032
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: