Randazzo, Jaclyn

Randazzo, Jaclyn is an individual health care provider with primary practice located at 6270 Som Center Rd , Solon OH 44139-2913. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Randazzo, Jaclyn can be contacted via phone (440) 836-0494.

Contact Information

Primary practice address
6270 Som Center Rd Solon OH 44139-2913
Fax: (440) 836-0498
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03233654 Ohio

Profile Details

NPI number 1619379773
LBN Legal business name Randazzo, Jaclyn
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2014
Last updated Mar 30th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1619379773 NPPES
Ohio Other 03233654 OHIO STATE BOARD OF PHARMACY
Ohio Other 836738 OHIO STATE BOARD OF PHARMACY

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