Provider Demographics
NPI:1255599858
Name:HOLZAEPFEL, JUDITH NADINE (RPH)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:NADINE
Last Name:HOLZAEPFEL
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 1:605 WINTHROP CT
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:OH
Mailing Address - Zip Code:44839-1468
Mailing Address - Country:US
Mailing Address - Phone:419-433-6767
Mailing Address - Fax:
Practice Address - Street 1:605 WINTHROP CT
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:OH
Practice Address - Zip Code:44839-1468
Practice Address - Country:US
Practice Address - Phone:419-433-6767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12215183500000X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835X0200XPharmacy Service ProvidersPharmacistOncology