Healthcare Provider Details

I. General information

NPI: 1992300990
Provider Name (Legal Business Name): BRIAN SCHELLHAUS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 W MAIN ST
LOUISVILLE OH
44641-1335
US

IV. Provider business mailing address

1370 W MAIN ST
NEWARK OH
43055-1895
US

V. Phone/Fax

Practice location:
  • Phone: 330-875-1429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03230749
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: