Individual
ANGELA FORTKAMP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-6590
Mailing address
2172 MAPLEWOOD RD, CLEVELAND HEIGHTS, OH 44118-2814
(216) 932-3121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-1-14742
OH
Other
Enumeration date
12/04/2005
Last updated
07/08/2007
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