Healthcare Provider Details

I. General information

NPI: 1417652413
Provider Name (Legal Business Name): JENNA LEIGH WOJKOWSKI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

2410 SCRANTON RD APT 416
CLEVELAND OH
44113-4326
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-0444
  • Fax:
Mailing address:
  • Phone: 440-567-3402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number03442165
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: