Most Relevant Information
Provider Data
| NPI Number: | 1003291576 |
| Provider Name: | ANDREW SKOUBY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 03334579 |
Most Important Dates
| Enumeration Date: | 07/27/2015 |
| Last Updated: | 07/27/2015 |
Provider Practice Location
9669 MENTOR AVE
MENTOR
OH
440604528
Practice Location Phone/Fax
| Phone: | 4402105054 |
| Fax: |
Provider Mailing Location
9669 MENTOR AVE
MENTOR
OH
440604528
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |