Provider Demographics
NPI:1982608394
Name:LERMAN, RACHAEL MAXINE (PHARMD, BCPS)
Entity Type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:MAXINE
Last Name:LERMAN
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13207 RAVENNA RD
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-7032
Mailing Address - Country:US
Mailing Address - Phone:440-269-6530
Mailing Address - Fax:440-269-6530
Practice Address - Street 1:13207 RAVENNA RD
Practice Address - Street 2:PHARMACY SERVICES
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-7032
Practice Address - Country:US
Practice Address - Phone:440-269-6530
Practice Address - Fax:216-401-4081
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-25188183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist