Provider Demographics
NPI:1417551722
Name:NARTKER, PAULA ANN (RPH)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:ANN
Last Name:NARTKER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9567 WABASH WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-3954
Mailing Address - Country:US
Mailing Address - Phone:513-218-4920
Mailing Address - Fax:
Practice Address - Street 1:3195 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2946
Practice Address - Country:US
Practice Address - Phone:513-321-2470
Practice Address - Fax:513-321-2467
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-15888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist