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NPI Code Detail

MEDICARE: ERICA EADES

MEDICARE: ERICA EADES
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
1183500000XPharmacist03129527OH

General Provider Information

NPI Number : 1720684301
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA EADES
Provider Business Mailing Address
First Line : 353 E MAIN ST
Second Line :
City : JACKSON
State : OH
Zip : 45640-1758
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 353 E MAIN ST
Second Line :
City : JACKSON
State : OH
Zip : 45640-1758
Country : US
Telephone Number : 740-286-6401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2020
Last Update Date : 12/08/2020

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Directions to “ ERICA EADES ” Practice Location

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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.

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