Healthcare Provider Details

I. General information

NPI: 1528712684
Provider Name (Legal Business Name): PAUL WILLIAM SVABIK RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2022
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 W ELM ST
LIMA OH
45805-2519
US

IV. Provider business mailing address

1098 SHAWNEE DR
VAN WERT OH
45891-2663
US

V. Phone/Fax

Practice location:
  • Phone: 419-221-3679
  • Fax:
Mailing address:
  • Phone: 419-203-9322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number15865
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15865
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: