NPI 1013122316

Kenneth Marshall Overholt, RPH

Practitioner Pharmacist Warren, OH

Practice location

Address: 4619 Mahoning Ave NW, Warren, OH 44483-1418
Phone: (330) 847-8000
Fax: (330) 847-7708

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 03-2-13266 (OH)

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Registry record

NPI: 1013122316
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.