Healthcare Provider Details

I. General information

NPI: 1053227827
Provider Name (Legal Business Name): PETER ELGIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 N STATE ST
WESTERVILLE OH
43081-2106
US

IV. Provider business mailing address

23 N STATE ST
WESTERVILLE OH
43081-2106
US

V. Phone/Fax

Practice location:
  • Phone: 614-882-2392
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03447005
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: