Healthcare Provider Details

I. General information

NPI: 1336674720
Provider Name (Legal Business Name): SAMANTHA LEIGH BOLLINGER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4656 CEMETERY RD
HILLIARD OH
43026-1298
US

IV. Provider business mailing address

4656 CEMETERY RD
HILLIARD OH
43026-1298
US

V. Phone/Fax

Practice location:
  • Phone: 614-876-1248
  • Fax: 614-334-0277
Mailing address:
  • Phone: 614-876-1248
  • Fax: 614-334-0277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03129658
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number014666
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: