Provider Demographics
NPI:1588266670
Name:DARIAN, EDIE E (RPH)
Entity type:Individual
Prefix:MS
First Name:EDIE
Middle Name:E
Last Name:DARIAN
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 1:5952 SAINT FILLANS CT W
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-9751
Mailing Address - Country:US
Mailing Address - Phone:614-537-7393
Mailing Address - Fax:
Practice Address - Street 1:5952 SAINT FILLANS CT W
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-9751
Practice Address - Country:US
Practice Address - Phone:614-537-7393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03219457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist