Provider Demographics
NPI:1770829665
Name:PEKARCIK, PATRICK K (PHARMD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:K
Last Name:PEKARCIK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5769 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-1809
Mailing Address - Country:US
Mailing Address - Phone:440-223-3595
Mailing Address - Fax:
Practice Address - Street 1:3020 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1702
Practice Address - Country:US
Practice Address - Phone:216-932-4759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03131737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist