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NPI Code Detail

MEDICARE: SUSAN FORBES

MEDICARE:   SUSAN  FORBES
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
1183500000XPharmacist03120544OH

General Provider Information

NPI Number : 1972177616
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN FORBES
Provider Business Mailing Address
First Line : 38495 THORTON LN
Second Line :
City : AVON
State : OH
Zip : 44011-5207
Country : US
Telephone Number : 440-821-8131
Fax Number :
Provider Business Practice Location Address
First Line : 443 CLEVELAND ST
Second Line :
City : ELYRIA
State : OH
Zip : 44035-4062
Country : US
Telephone Number : 440-365-7162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2021
Last Update Date : 05/17/2021

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Directions to “ SUSAN FORBES ” 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.