Provider Demographics
NPI:1255901294
Name:KERTESZ, LORI J (RPH, CACP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:J
Last Name:KERTESZ
Suffix:
Gender:F
Credentials:RPH, CACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 CHERRY ST.
Mailing Address - Street 2:ACC BUILDING SUITE 306 - MEDICATION MANAGEMENT
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608
Mailing Address - Country:US
Mailing Address - Phone:419-251-2568
Mailing Address - Fax:419-251-8011
Practice Address - Street 1:2213 CHERRY ST.
Practice Address - Street 2:ACC BUILDING SUITE 306 - MEDICATION MANAGEMENT
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608
Practice Address - Country:US
Practice Address - Phone:419-251-2568
Practice Address - Fax:419-251-8011
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH033161311835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care