Healthcare Provider Details

I. General information

NPI: 1487227534
Provider Name (Legal Business Name): LUKE ROBERT HOHENSTEIN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2021
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4925 JACKMAN RD
TOLEDO OH
43613-3574
US

IV. Provider business mailing address

8737 PEMBERVILLE RD
RISINGSUN OH
43457-9725
US

V. Phone/Fax

Practice location:
  • Phone: 419-475-9103
  • Fax:
Mailing address:
  • Phone: 419-908-0196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03440838
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: