Healthcare Provider Details

I. General information

NPI: 1629505219
Provider Name (Legal Business Name): BRAD HARGROVE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2017
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31550 CHIEFTAIN DR
LOGAN OH
43138-9087
US

IV. Provider business mailing address

31550 CHIEFTAIN DR
LOGAN OH
43138-9087
US

V. Phone/Fax

Practice location:
  • Phone: 740-380-2041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03328943
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: