Fornwalt, Roy Benjamin

Fornwalt, Roy Benjamin is an individual health care provider with primary practice located at 20405 Chagrin Blvd , Shaker Heights OH 44122-5324. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fornwalt, Roy Benjamin can be contacted via phone (216) 752-4866.

Contact Information

Primary practice address
20405 Chagrin Blvd Shaker Heights OH 44122-5324
Phone: (216) 752-4866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03132257 Ohio

Profile Details

NPI number 1285039867
LBN Legal business name Fornwalt, Roy Benjamin
Credentials PHARM.D.,R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2014
Last updated Oct 25th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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