Provider Demographics
NPI:1154482636
Name:LAPATINSKY, FREDRIC IRWIN (RPH)
Entity Type:Individual
Prefix:
First Name:FREDRIC
Middle Name:IRWIN
Last Name:LAPATINSKY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6569 BIRCH PARK WAY
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8546
Mailing Address - Country:US
Mailing Address - Phone:614-599-0797
Mailing Address - Fax:714-429-0850
Practice Address - Street 1:6409 N QUAIL HOLLOW RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1414
Practice Address - Country:US
Practice Address - Phone:800-968-6962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-13260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist