Provider Demographics
NPI:1346781218
Name:SZCZEPANSKI, JARETT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JARETT
Middle Name:
Last Name:SZCZEPANSKI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5705 WHISPERING TRL
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021-8049
Mailing Address - Country:US
Mailing Address - Phone:617-935-6265
Mailing Address - Fax:
Practice Address - Street 1:410 WEST TENTH AVENUE, 368 DOAN HALL
Practice Address - Street 2:OHIO STATE UNIVERSITY MEDICAL CENTER PHARMACY
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210
Practice Address - Country:US
Practice Address - Phone:614-293-3310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH033259711835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy