Provider Demographics
NPI:1871122762
Name:SAPHIRE, MAUREEN L (PHARMD)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:L
Last Name:SAPHIRE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:L
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6784 LAKESIDE CIR W
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2875
Mailing Address - Country:US
Mailing Address - Phone:419-569-2375
Mailing Address - Fax:
Practice Address - Street 1:460 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-0304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328875183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist