Individual
GREGORY PENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
24165 DETROIT RD, WESTLAKE, OH 44145-1516
(866) 883-7646
(866) 617-9047
Mailing address
24165 DETROIT RD, WESTLAKE, OH 44145-1516
(866) 883-7646
(866) 617-9047
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
03225386
OH
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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