Provider Demographics
NPI:1790129666
Name:MAY, CASEY COMBS (PHARMD, BCCCP)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:COMBS
Last Name:MAY
Suffix:
Gender:F
Credentials:PHARMD, BCCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 DOAN HALL 410 WEST 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1228
Mailing Address - Country:US
Mailing Address - Phone:614-366-6849
Mailing Address - Fax:
Practice Address - Street 1:368 DOAN HALL 410 WEST 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-0293
Practice Address - Country:US
Practice Address - Phone:614-366-6849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist