Individual
ANTHONY RAY MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14701 PEARL RD, PHARMACY DEPARTMENT, STRONGSVILLE, OH 44136-5026
(440) 572-0455
(440) 268-0982
Mailing address
13463 ROSEWOOD LN, STRONGSVILLE, OH 44136-2724
(440) 846-6152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-18272
OH
Other
Enumeration date
08/30/2008
Last updated
08/30/2008
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