Healthcare Provider Details

I. General information

NPI: 1932615739
Provider Name (Legal Business Name): ANTHONY MICHAEL MEREDITH RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2017
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 GLENDALE AVE
TOLEDO OH
43614-2648
US

IV. Provider business mailing address

3648 LAINAR DR
TOLEDO OH
43606-1027
US

V. Phone/Fax

Practice location:
  • Phone: 419-385-4675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03237456
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: