MEDICARE: DR. GINA AYERS 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
1	1835P2201X	Ambulatory Care Pharmacist	03338070	OH

General Provider Information

NPI Number	:	1629598768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GINA AYERS PHARMD

Provider Business Mailing Address
First Line	:	10685 CARNEGIE AVE BLDG X10
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-3018
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10685 CARNEGIE AVE BLDG X10
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-3018
Country	:	US
Telephone Number	:	216-444-8016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	11/05/2020

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