Provider Demographics
NPI:1518568104
Name:CRAIG, HEATH AARON (RPH)
Entity Type:Individual
Prefix:MR
First Name:HEATH
Middle Name:AARON
Last Name:CRAIG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8303 W RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5549
Mailing Address - Country:US
Mailing Address - Phone:440-884-5709
Mailing Address - Fax:440-884-5753
Practice Address - Street 1:8303 W RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5549
Practice Address - Country:US
Practice Address - Phone:440-884-5709
Practice Address - Fax:440-884-5753
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03226404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist