Provider Demographics
NPI:1386632107
Name:WYLER, DEBORAH K (RPH)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:K
Last Name:WYLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:K
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:10 SHERWOOD COURT
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7592
Mailing Address - Country:US
Mailing Address - Phone:216-952-9278
Mailing Address - Fax:216-342-5642
Practice Address - Street 1:1113 MEDINA RD SUITE 700
Practice Address - Street 2:HARVEST GROVE PHARMACY
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-0335
Practice Address - Country:US
Practice Address - Phone:888-322-6216
Practice Address - Fax:800-258-9178
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-154381835P1200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy