Healthcare Provider Details

I. General information

NPI: 1689953572
Provider Name (Legal Business Name): LESLIE MARIE BITTNER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BLVD # 119W
CLEVELAND OH
44106-1702
US

IV. Provider business mailing address

6024 GREENVIEW TRL
NORTH RIDGEVILLE OH
44039-5167
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-3800
  • Fax:
Mailing address:
  • Phone: 419-767-0828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number03330944
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: