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NPI Code Detail

MEDICARE: DR. RUDDY ALEXANDER JOVEL-CABRERA PHARM.D.

MEDICARE: DR. RUDDY ALEXANDER JOVEL-CABRERA PHARM.D.
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
1183500000XPharmacist03233019OH

General Provider Information

NPI Number : 1346682325
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUDDY ALEXANDER JOVEL-CABRERA PHARM.D.
Provider Business Mailing Address
First Line : 2901 EUCLID AVE APT 619
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2422
Country : US
Telephone Number : 760-498-7921
Fax Number :
Provider Business Practice Location Address
First Line : 20405 CHAGRIN BLVD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5324
Country : US
Telephone Number : 216-752-4866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2013
Last Update Date : 07/19/2013

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