Healthcare Provider Details

I. General information

NPI: 1346785961
Provider Name (Legal Business Name): JANET UNGAR R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 01/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

1394 HENNING DR
LYNDHURST OH
44124-2419
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-4015
  • Fax:
Mailing address:
  • Phone: 440-473-1974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03113494
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: