Healthcare Provider Details

I. General information

NPI: 1285114298
Provider Name (Legal Business Name): KRYSTINA MARIE HEPLER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2018
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W BOWERY ST RM 3200
AKRON OH
44308-1069
US

IV. Provider business mailing address

2380 STILLWAGON RD SE
WARREN OH
44484-3172
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8322
  • Fax:
Mailing address:
  • Phone: 330-509-0699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03338087
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: