Healthcare Provider Details

I. General information

NPI: 1558562876
Provider Name (Legal Business Name): BARB A. OSTROWSKI PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 6TH ST
TRAVERSE CITY MI
49684-2345
US

IV. Provider business mailing address

2765 W WOODLANDS DR
TRAVERSE CITY MI
49684-7899
US

V. Phone/Fax

Practice location:
  • Phone: 231-935-9137
  • Fax: 231-935-9112
Mailing address:
  • Phone: 231-935-9137
  • Fax: 231-935-9112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number5302027627
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: