Individual provider · Type 1 NPI

Jonathan Kissam

Pharmacist · Cleveland, OH

NPI number 1720809791 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Call (856) 993-4204 Map

Mailing address

200 Euclid Ave Apt 604
Cleveland, OH 44114-2302

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X03444706 (OH)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1720809791

Jonathan Kissam's National Provider Identifier is 1720809791, issued on Oct 22, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Cleveland, OH. The record was last updated on Oct 22, 2024.