Provider Demographics
NPI:1467138362
Name:GRABARCZYK, JENNIFER (PHARM D, RPH, BCGP)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:GRABARCZYK
Suffix:
Gender:F
Credentials:PHARM D, RPH, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 GREENVILLE XING
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43566
Mailing Address - Country:US
Mailing Address - Phone:419-343-1478
Mailing Address - Fax:
Practice Address - Street 1:4126 N HOLLAND SYLVANIA RD SUITE 105A
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623
Practice Address - Country:US
Practice Address - Phone:419-343-1478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031225681835P0018X, 1835X0200X, 1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care