Individual
JOHANNA WASHEIM OBLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16803 LORAIN AVENUE, CLEVELAND, OH 44111
(216) 252-3102
Mailing address
16803 LORAIN AVENUE, CLEVELAND, OH 44111
(216) 252-3102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03316197
OH
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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