Provider Demographics
NPI:1508329715
Name:KLEIN, ANN MCCLELLAND (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MCCLELLAND
Last Name:KLEIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 PARK LEDGE LN
Mailing Address - Street 2:
Mailing Address - City:BOSTON HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44264-9811
Mailing Address - Country:US
Mailing Address - Phone:330-352-1351
Mailing Address - Fax:
Practice Address - Street 1:150 CROSS ST STE 100
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1026
Practice Address - Country:US
Practice Address - Phone:330-926-5945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-13
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-16210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist