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NPI Code Detail

MEDICARE: ROMANA ANDREA KUCHTA PHARMD, RPH

MEDICARE: ROMANA ANDREA KUCHTA PHARMD, RPH
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
1183500000XPharmacist03328998OH

General Provider Information

NPI Number : 1255602314
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROMANA ANDREA KUCHTA PHARMD, RPH
Provider Business Mailing Address
First Line : 9144 E WASHINGTON ST
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44023-2745
Country : US
Telephone Number : 440-668-8265
Fax Number :
Provider Business Practice Location Address
First Line : 22401 LAKE SHORE BLVD
Second Line :
City : EUCLID
State : OH
Zip : 44123-1312
Country : US
Telephone Number : 216-261-4497
Fax Number : 216-261-5138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2012
Last Update Date : 01/21/2012

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