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NPI Code Detail

MEDICARE: MR. BRANDON GARA OLES RPH

MEDICARE: MR. BRANDON GARA OLES 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
1183500000XPharmacist03124422OH

General Provider Information

NPI Number : 1861774614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRANDON GARA OLES RPH
Provider Business Mailing Address
First Line : 4134 TREEBROOK DR
Second Line :
City : HILLIARD
State : OH
Zip : 43026-7312
Country : US
Telephone Number : 614-572-4955
Fax Number :
Provider Business Practice Location Address
First Line : 1280 DEMOREST RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-7003
Country : US
Telephone Number : 614-279-1962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2011
Last Update Date : 09/16/2011

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