Provider Demographics
NPI:1962948927
Name:TAUBMAN, HARRY (RPH)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:
Last Name:TAUBMAN
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 1:6069 WHITNEY WOODS CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2150
Mailing Address - Country:US
Mailing Address - Phone:614-868-1685
Mailing Address - Fax:614-497-7962
Practice Address - Street 1:2940 GROVEPORT RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-3255
Practice Address - Country:US
Practice Address - Phone:614-491-3446
Practice Address - Fax:614-497-7962
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03308304183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist