Provider Demographics
NPI:1174614580
Name:BARTONE, DOMINIC J (RPH)
Entity type:Individual
Prefix:MR
First Name:DOMINIC
Middle Name:J
Last Name:BARTONE
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 1:11930 KEMPER SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1642
Mailing Address - Country:US
Mailing Address - Phone:513-228-9191
Mailing Address - Fax:513-228-1176
Practice Address - Street 1:11930 KEMPER SPRINGS DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1642
Practice Address - Country:US
Practice Address - Phone:513-228-0812
Practice Address - Fax:513-228-1176
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-12108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist