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NPI Code Detail

MEDICARE: GUARDIAN PHARMACY OF CINCINNATI, LLC

MEDICARE: GUARDIAN PHARMACY OF CINCINNATI, LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1679183792
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUARDIAN PHARMACY OF CINCINNATI, LLC
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 : 513-779-9826
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 : 513-779-9826
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : THOMAS MULLANEY
Credential :
Telephone Number : 513-587-6201
Provider Enumeration Date : 08/04/2020
Last Update Date : 08/04/2020

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Directions to “GUARDIAN PHARMACY OF CINCINNATI, LLC ” Practice Location

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