Provider Demographics
NPI:1962762088
Name:BARSAN, NICHOLAS J (RPH)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:J
Last Name:BARSAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8060 S MASON MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9597
Mailing Address - Country:US
Mailing Address - Phone:513-870-0567
Mailing Address - Fax:513-870-0657
Practice Address - Street 1:8060 S MASON MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9597
Practice Address - Country:US
Practice Address - Phone:513-870-0567
Practice Address - Fax:513-870-0657
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-13714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist