Individual
COURTNEY FORNWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5700 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4152
(440) 204-7400
Mailing address
5700 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4152
(440) 204-7400
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
03440653
OH
Other
Enumeration date
10/16/2023
Last updated
04/04/2024
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