Healthcare Provider Details

I. General information

NPI: 1689925281
Provider Name (Legal Business Name): CHERYL L FARINE PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2012
Last Update Date: 09/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12201 EUCLID AVE
CLEVELAND OH
44106-4310
US

IV. Provider business mailing address

12201 EUCLID AVE
CLEVELAND OH
44106-4310
US

V. Phone/Fax

Practice location:
  • Phone: 216-707-3432
  • Fax:
Mailing address:
  • Phone: 216-707-3432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03111115
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: