Healthcare Provider Details

I. General information

NPI: 1588223549
Provider Name (Legal Business Name): RIVKA KATZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RIVKA HECHT PHARMD

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 06/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4510 RICHMOND RD
WARRENSVILLE HEIGHTS OH
44128-5757
US

IV. Provider business mailing address

11100 EUCLID AVENUE DIGESTIVE HEALTH INSTITUTE, MAILSTOP WEARN 5066
CLEVELAND OH
44106
US

V. Phone/Fax

Practice location:
  • Phone: 216-765-2784
  • Fax:
Mailing address:
  • Phone: 216-844-7375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03236383
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: