Individual
ENRI ISMAILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Mailing address
1320 MERCY DR NW, CANTON, OH 44708-2614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03440993
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03440993
BOARD OF PHARMACY
OH
Enumeration date
04/01/2022
Last updated
04/01/2022
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