Healthcare Provider Details

I. General information

NPI: 1518882075
Provider Name (Legal Business Name): MAGGIE BILTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 EQUITY DR
COLUMBUS OH
43228-3842
US

IV. Provider business mailing address

5103 DEARTH RD
SPRINGBORO OH
45066-7711
US

V. Phone/Fax

Practice location:
  • Phone: 833-614-4438
  • Fax:
Mailing address:
  • Phone: 937-405-3366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number03444910
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: