Individual
TIFFANY CHANG ORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
425 W 10TH AVE, COLUMBUS, OH 43210-2205
(614) 293-0649
(614) 293-8260
Mailing address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI03437000
NJ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03331040
OH
Other
Enumeration date
08/20/2013
Last updated
10/01/2016
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