Individual
JACK BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9885 ROCKSIDE RD, CLEVELAND, OH 44125-6273
(216) 957-5389
Mailing address
1025 ALDEN DR, STREETSBORO, OH 44241-4803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03444477
OH
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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