MEDICARE: DENISE NAUMAN RPH

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	03217853	OH

General Provider Information

NPI Number	:	1275954901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE NAUMAN RPH

Provider Business Mailing Address
First Line	:	2150 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43223-1257
Country	:	US
Telephone Number	:	614-752-0133
Fax Number	:	614-752-0135

Provider Business Practice Location Address
First Line	:	2150 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43223-1257
Country	:	US
Telephone Number	:	614-752-0133
Fax Number	:	614-752-0135

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

Provider Enumeration Date	:	12/24/2013
Last Update Date	:	12/24/2013

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