Provider Demographics
NPI:1801785290
Name:BARDOS, LORI (RPH)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:BARDOS
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 1:6631 CAT SINGER CIR S
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8271
Mailing Address - Country:US
Mailing Address - Phone:614-270-4565
Mailing Address - Fax:614-270-4565
Practice Address - Street 1:6275 WINCHESTER BLVD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-6537
Practice Address - Country:US
Practice Address - Phone:614-270-4565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03215617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist