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Individual

MR. HARVEY BOARDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
26400 GEORGE ZEIGER DR APT 304, BEACHWOOD, OH 44122-7511
(216) 245-6078
Mailing address
26400 GEORGE ZEIGER DR APT 304, BEACHWOOD, OH 44122-7511
(216) 245-6078

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03107213
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03107213
OHIO STATE BOARD OF PHARMACY
OH
Enumeration date
11/01/2013
Last updated
11/01/2013
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