Healthcare Provider Details

I. General information

NPI: 1972910727
Provider Name (Legal Business Name): GRACE PESTINGER PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2014
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
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 Number1-14869
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: