Provider Demographics
NPI:1598087199
Name:ADELMAN, DIANE ADELMAN LINDA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DIANE ADELMAN
Middle Name:LINDA
Last Name:ADELMAN
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 1:12501 ROCKSIDE RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-6236
Mailing Address - Country:US
Mailing Address - Phone:216-662-6602
Mailing Address - Fax:216-662-0998
Practice Address - Street 1:12501 ROCKSIDE RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-6236
Practice Address - Country:US
Practice Address - Phone:216-662-6602
Practice Address - Fax:216-662-0998
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03307794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist