Healthcare Provider Details

I. General information

NPI: 1215856257
Provider Name (Legal Business Name): CALLY MARIE SEBASTIAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 N COVE BLVD
TOLEDO OH
43606-3896
US

IV. Provider business mailing address

1381 COUNTY ROAD 5
DESHLER OH
43516-9511
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03446739
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: