Healthcare Provider Details

I. General information

NPI: 1073108338
Provider Name (Legal Business Name): DEANNA URASEK PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2021
Last Update Date: 03/08/2021
Certification Date: 03/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4777 E GALBRAITH RD
CINCINNATI OH
45236-2814
US

IV. Provider business mailing address

4777 E GALBRAITH RD
CINCINNATI OH
45236-2814
US

V. Phone/Fax

Practice location:
  • Phone: 513-686-5055
  • Fax:
Mailing address:
  • Phone: 513-686-5055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03124639
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: