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NPI Code Detail

MEDICARE: SIERRA CLELAND PHARMD

MEDICARE: SIERRA CLELAND 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
1183500000XPharmacist03443598OH

General Provider Information

NPI Number : 1295383750
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA CLELAND PHARMD
Provider Business Mailing Address
First Line : 1901 MILLER LOOP N UNIT 1911
Second Line :
City : ASHLAND
State : OH
Zip : 44805-8971
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1955 CLEVELAND RD
Second Line :
City : WOOSTER
State : OH
Zip : 44691-2256
Country : US
Telephone Number : 330-262-9045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2019
Last Update Date : 08/27/2023

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Directions to “ SIERRA CLELAND PHARMD” Practice Location

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