Provider Demographics
NPI:1811973571
Name:ORTENZI, ANGELA CINDRIC (RPH)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:CINDRIC
Last Name:ORTENZI
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 1:2352 SPRINGSIDE OVAL
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-3345
Mailing Address - Country:US
Mailing Address - Phone:440-838-4416
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # JJ10
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-2964
Practice Address - Country:US
Practice Address - Phone:216-444-3401
Practice Address - Fax:216-445-0025
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-19426183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist