Healthcare Provider Details

I. General information

NPI: 1710413281
Provider Name (Legal Business Name): LIA FROST PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2017
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3975 POWELL RD
POWELL OH
43065-7979
US

IV. Provider business mailing address

3975 POWELL RD
POWELL OH
43065-7979
US

V. Phone/Fax

Practice location:
  • Phone: 614-889-5257
  • Fax:
Mailing address:
  • Phone: 614-889-5257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03132322
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: