Healthcare Provider Details
I. General information
NPI: 1114835287
Provider Name (Legal Business Name): BROOKE ASTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
410 W 10TH AVE
COLUMBUS OH
43210-1240
US
IV. Provider business mailing address
410 W 10TH AVE
COLUMBUS OH
43210-1240
US
V. Phone/Fax
- Phone: 614-814-1802
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835S0206X |
| Taxonomy | Solid Organ Transplant Pharmacist |
| License Number | 03444862 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: