Jaclyn Michelle Fundzak, PHARMD

NPI #1487940748 in Parma, Ohio

Provider Information

NPI Number: 1487940748
Entity Type: Individual
Name: Jaclyn Michelle Fundzak, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jun 24, 2011
Last Updated: Jun 24, 2011

Practice Location

Address: 6850 RIDGE RD
Address 2: T0792
City: Parma
State: Ohio
ZIP Code: 44129-5627
Phone: (440) 842-9170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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