Healthcare Provider Details

I. General information

NPI: 1891781977
Provider Name (Legal Business Name): MARA T WARD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7075 RIVERSIDE DR
DUBLIN OH
43016-9586
US

IV. Provider business mailing address

7075 RIVERSIDE DR
DUBLIN OH
43016-9586
US

V. Phone/Fax

Practice location:
  • Phone: 614-332-6169
  • Fax: 614-799-9828
Mailing address:
  • Phone: 614-332-6169
  • Fax: 614-799-9828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03-1-19013
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: