Healthcare Provider Details

I. General information

NPI: 1467458786
Provider Name (Legal Business Name): MARIA CHRISTINA COYLE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA CHRISTINA PRUCHNICKI PHARM.D.

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 TAYLOR AVE FL 3
COLUMBUS OH
43203-1278
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-7677
  • Fax: 614-293-5614
Mailing address:
  • Phone: 614-293-7677
  • Fax: 614-293-5614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03119124
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03119124
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: