Individual
DR. ANTONIO CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
10701 EAST BLVD, PHARMACY SERVICE 119(W), CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 231-3291
Mailing address
10701 EAST BLVD, PHARMACY SERVICE 119(W), CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 231-3291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03230674
OH
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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