Provider Demographics
NPI:1790061935
Name:WARD, DEBORAH MARIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MARIA
Last Name:WARD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:DORENKOTT
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:5702 FOREST RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-4114
Mailing Address - Country:US
Mailing Address - Phone:440-686-0743
Mailing Address - Fax:
Practice Address - Street 1:5702 FOREST RIDGE DR
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-4114
Practice Address - Country:US
Practice Address - Phone:440-686-0743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03316840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist