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NPI Code Detail

MEDICARE: MR. BRIAN CRAIG BRATCHER RPH

MEDICARE: MR. BRIAN CRAIG BRATCHER 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
1183500000XPharmacist03322029OH

General Provider Information

NPI Number : 1871196766
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN CRAIG BRATCHER RPH
Provider Business Mailing Address
First Line : 4607 MUIRRIDGE CT
Second Line :
City : BATAVIA
State : OH
Zip : 45103-1578
Country : US
Telephone Number : 513-460-6062
Fax Number :
Provider Business Practice Location Address
First Line : 947 CINCINNATI BATAVIA PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1303
Country : US
Telephone Number : 513-943-2801
Fax Number : 513-943-1095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2020
Last Update Date : 11/21/2020

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