Healthcare Provider Details

I. General information

NPI: 1588190722
Provider Name (Legal Business Name): BRITTNEY CONWAY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2017
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 E BROAD ST
COLUMBUS OH
43213-1519
US

IV. Provider business mailing address

2888 CLARK STATE XING
BLACKLICK OH
43004-7166
US

V. Phone/Fax

Practice location:
  • Phone: 614-575-3741
  • Fax: 614-552-6017
Mailing address:
  • Phone: 614-352-5618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03122673
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: