Healthcare Provider Details

I. General information

NPI: 1679198881
Provider Name (Legal Business Name): ERIN ELAINE OBERT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 11/22/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5910 HARRISON AVE
CINCINNATI OH
45248-1606
US

IV. Provider business mailing address

5910 HARRISON AVE
CINCINNATI OH
45248-1606
US

V. Phone/Fax

Practice location:
  • Phone: 513-574-5044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26029066A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03439553
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: