Provider Demographics
NPI:1891062949
Name:LUBANDI, ANDREW KIYAKI (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:KIYAKI
Last Name:LUBANDI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7045 W PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-4721
Mailing Address - Country:US
Mailing Address - Phone:216-544-8336
Mailing Address - Fax:
Practice Address - Street 1:11401 UNION AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-1801
Practice Address - Country:US
Practice Address - Phone:216-751-2902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032280061835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist