MEDICARE: MR. ERIC M DURBIN RPH

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	183500000X	Pharmacist	03-2-21279	OH
2	1835P1200X	Pharmacotherapy Pharmacist	03-2-21279	OH

General Provider Information

NPI Number	:	1790755247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC M DURBIN RPH

Provider Business Mailing Address
First Line	:	9559 ROWE RD NW
Second Line	:
City	:	SUGARCREEK
State	:	OH
Zip	:	44681-6902
Country	:	US
Telephone Number	:	330-364-2301
Fax Number	:	330-343-0264

Provider Business Practice Location Address
First Line	:	3000 N WOOSTER AVE
Second Line	:
City	:	DOVER
State	:	OH
Zip	:	44622-9469
Country	:	US
Telephone Number	:	330-364-2301
Fax Number	:	330-343-0264

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	09/11/2025

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