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NPI Code Detail

MEDICARE: THE COMPOUNDING CETNER

MEDICARE: THE COMPOUNDING CETNER
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
13336C0004XCompounding Pharmacy022333450OH

General Provider Information

NPI Number : 1598107609
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE COMPOUNDING CETNER
Provider Business Mailing Address
First Line : 7846 CINCINNATI DAYTON RD
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-2009
Country : US
Telephone Number : 513-779-9808
Fax Number : 513-587-7645
Provider Business Practice Location Address
First Line : 7846 CINCINNATI DAYTON RD
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-2009
Country : US
Telephone Number : 513-779-9808
Fax Number : 513-587-7645
Authorized Official
Title or Position : PRESIDENT
Name : THOMAS P MULLANEY
Credential : R.PH.
Telephone Number : 513-587-6201
Provider Enumeration Date : 07/18/2013
Last Update Date : 07/18/2013

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Directions to “THE COMPOUNDING CETNER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.