Individual provider · Type 1 NPI

Judy Marie Gravenhorst

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Sylvania, OH

NPI number 1114557964 Active

Practice location

7545 Sylvania Ave
Sylvania, OH 43560-9735

Call (419) 841-6468 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X03440940 (OH)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X03440940 (OH)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

4 other providers at this address

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About NPI 1114557964

Judy Marie Gravenhorst's National Provider Identifier is 1114557964, issued on Jan 21, 2020. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Sylvania, OH. The record was last updated on Aug 17, 2026.