Healthcare Provider Details

I. General information

NPI: 1831924901
Provider Name (Legal Business Name): WILLIAM HOTH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 09/06/2024
Certification Date: 08/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24901 EMERY ROAD
WARRENSVILLE HEIGHTS OH
44136
US

IV. Provider business mailing address

24901 EMERY ROAD
WARRENSVILLE HEIGHTS OH
44136
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-7105
  • Fax:
Mailing address:
  • Phone: 216-844-7105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03444757
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: