MEDICARE: AMOL TALWAR

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	183500000X	Pharmacist	03129703	OH
2	183500000X	Pharmacist	49344	TX

General Provider Information

NPI Number	:	1841580636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMOL TALWAR

Provider Business Mailing Address
First Line	:	10502 SAINT CLAIR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1955
Country	:	US
Telephone Number	:	216-451-9027
Fax Number	:

Provider Business Practice Location Address
First Line	:	10502 SAINT CLAIR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1955
Country	:	US
Telephone Number	:	216-451-9027
Fax Number	:

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

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	01/10/2012

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Directions to “ AMOL TALWAR ” Practice Location

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