Individual
DAVID GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 ST LAWRENCE DR, TIFFIN, OH 44883-8310
(419) 455-7147
Mailing address
45 ST LAWRENCE DR, TIFFIN, OH 44883-8310
(419) 455-7147
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03120534
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03120534
OHIO PHARMACIST LICENSE
OH
01
—
449927
NABP
OH
Enumeration date
08/09/2016
Last updated
08/09/2016
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