Provider Demographics
NPI:1841473329
Name:OBSZARSKI, STEPHEN H (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:H
Last Name:OBSZARSKI
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10477 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-1941
Mailing Address - Country:US
Mailing Address - Phone:513-367-2382
Mailing Address - Fax:800-361-3887
Practice Address - Street 1:10477 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-1941
Practice Address - Country:US
Practice Address - Phone:513-367-2382
Practice Address - Fax:800-361-3887
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-256361835P0018X
IN26021166A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist