Healthcare Provider Details

I. General information

NPI: 1295641553
Provider Name (Legal Business Name): HITOMI IWASAKI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 W 10TH AVE
COLUMBUS OH
43210-2500
US

IV. Provider business mailing address

7615 SUN VALLEY CT
PICKERINGTON OH
43147-9088
US

V. Phone/Fax

Practice location:
  • Phone: 800-293-5066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03443142
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: