MEDICARE: EUGENE DRUST R.PH., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03130020	OH

General Provider Information

NPI Number	:	1194024240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENE DRUST R.PH., PH.D.

Provider Business Mailing Address
First Line	:	3302 EASTSIDE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-2712
Country	:	US
Telephone Number	:	513-474-0755
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 ERIE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-1717
Country	:	US
Telephone Number	:	513-321-9282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2011
Last Update Date	:	03/15/2011

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