NPI 1003197500

Matthew Jason Pallo, PHAMD

Practitioner Pharmacist Warrensville Heights, OH

Practice location

Address: 25221 Miles Rd Suite #h, Warrensville Heights, OH 44128-5474
Phone: (216) 224-1379
Fax: (216) 595-1508
Mailing address: 1769 E Sapphire Dr, Hudson, OH 44236-4098

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 03225434 (OH)

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Registry record

NPI: 1003197500
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2011
Record last updated: 30 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.