Individual
JENNIFER VIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 BOARDMAN CANFIELD RD STE 340, BOARDMAN, OH 44512-8000
(330) 505-1979
(330) 505-4178
Mailing address
1136 DRAKE VIEW CT, NORTH LIMA, OH 44452-8572
(330) 519-7352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-21674
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-3-21674
OHIO STATE BOARD OF PHARMACY
OH
Enumeration date
07/22/2021
Last updated
07/22/2021
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