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NPI Code Detail

MEDICARE: MR. JOSEPH MATTHEW VENTURA PHARMD

MEDICARE: MR. JOSEPH MATTHEW VENTURA 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
1183500000XPharmacist03129345OH

General Provider Information

NPI Number : 1376826446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH MATTHEW VENTURA PHARMD
Provider Business Mailing 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 :
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 :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2011
Last Update Date : 09/24/2011

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