Healthcare Provider Details

I. General information

NPI: 1326660218
Provider Name (Legal Business Name): ARKIDIA L HUFF CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2020
Last Update Date: 05/13/2020
Certification Date: 05/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9211 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9211 EUCLID AVE
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-636-0760
  • Fax:
Mailing address:
  • Phone: 216-636-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number09304423
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: