IndividualActive
Gino Desantis
NPI 1063183366 · Pharmacist · Middlefield, OH
Provider details
- NPI number
- 1063183366
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 03438965 (OH)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
15400 W High St # 280
Middlefield, OH 44062-9212
Phone: (440) 632-5587
Fax: (440) 632-0653
Approximate (ZIP-level) locationGet directions
Mailing address
15400 W High St # 280
Middlefield, OH 44062-9212
Registry dates
- Enumerated
- 2021-09-26
- Last updated
- 2021-09-26
- Certified
- 2021-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.