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NPI Code Detail

MEDICARE: IRENA AYZMAN

MEDICARE: IRENA AYZMAN
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
1183500000XPharmacist03116871OH

General Provider Information

NPI Number : 1639685068
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENA AYZMAN
Provider Business Mailing Address
First Line : 27719 S WOODLAND RD
Second Line :
City : PEPPER PIKE
State : OH
Zip : 44124-5633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20405 CHAGRIN BLVD
Second Line :
City : SHAKER HTS
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 : 12/21/2017
Last Update Date : 12/21/2017

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Directions to “ IRENA AYZMAN ” Practice Location

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