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NPI Code Detail

MEDICARE: DR. DEMETRIUS LOCKRIDGE JR. PHARMD

MEDICARE:  DR. DEMETRIUS  LOCKRIDGE JR. PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramOH

General Provider Information

NPI Number : 1184555385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEMETRIUS LOCKRIDGE JR. PHARMD
Provider Business Mailing Address
First Line : 35925 SEDGE CIR
Second Line :
City : SOLON
State : OH
Zip : 44139-5087
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10701 EAST BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1702
Country : US
Telephone Number : 216-791-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ DR. DEMETRIUS LOCKRIDGE JR. PHARMD” Practice Location

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