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NPI Code Detail

MEDICARE: ODAE FARUNIA

MEDICARE: ODAE FARUNIA
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
1183500000XPharmacist03236983OH

General Provider Information

NPI Number : 1396262804
Entity Type Code : Individual
Provider Name (Legal Business Name) : ODAE FARUNIA
Provider Business Mailing Address
First Line : 15149 SNOW RD
Second Line :
City : BROOKPARK
State : OH
Zip : 44142-2458
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15149 SNOW RD
Second Line :
City : BROOKPARK
State : OH
Zip : 44142-2458
Country : US
Telephone Number : 216-676-5561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2017
Last Update Date : 08/25/2017

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Directions to “ ODAE FARUNIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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