MEDICARE: DR. MICHAEL ALLEN HEGENER PHARMD, BCACP

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	012892	KY

General Provider Information

NPI Number	:	1558397810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ALLEN HEGENER PHARMD, BCACP

Provider Business Mailing Address
First Line	:	UNIVERSITY OF CINCINNATI COLLEGE OF PHARMACY
Second Line	:	3225 EDEN AVENUE
City	:	CINCINNATI
State	:	OH
Zip	:	45267-0004
Country	:	US
Telephone Number	:	513-558-7806
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY OF CINCINNATI COLLEGE OF PHARMACY
Second Line	:	3225 EDEN AVENUE
City	:	CINCINNATI
State	:	OH
Zip	:	45267-0004
Country	:	US
Telephone Number	:	513-558-7806
Fax Number	:

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	05/03/2018

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