Individual
MARINA BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3312
Mailing address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3312
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
03327035
OH
1835P1200X
Pharmacotherapy Pharmacist
55626
CA
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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