MEDICARE: DR. MARY ANTYPAS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	03443770	OH

General Provider Information

NPI Number	:	1013799543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ANTYPAS PHARMD

Provider Business Mailing Address
First Line	:	6455 MONROE ST APT 229
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-1463
Country	:	US
Telephone Number	:	419-779-3430
Fax Number	:

Provider Business Practice Location Address
First Line	:	6235 MONROE ST
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-1427
Country	:	US
Telephone Number	:	419-885-4738
Fax Number	:	419-824-9701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	06/18/2026

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Directions to “ DR. MARY ANTYPAS PHARMD” Practice Location

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