MEDICARE: MRS. MARY BETH REBENNACK 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
1	183500000X	Pharmacist	03312953	OH

General Provider Information

NPI Number	:	1912501420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY BETH REBENNACK RPH

Provider Business Mailing Address
First Line	:	6138 CLEVES WARSAW PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-4508
Country	:	US
Telephone Number	:	513-478-9914
Fax Number	:

Provider Business Practice Location Address
First Line	:	4840 GLENWAY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-4402
Country	:	US
Telephone Number	:	513-921-0831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2020
Last Update Date	:	11/24/2020

Similar Medicare Providers

1265535090 — OHIO CVS STORES LLC
Practice Location Address:

4840 GLENWAY AVE
CINCINNATI, OH
45238-4402

Practice Phone: 513-921-0831
Practice Fax:

1871196659 — TAYLOR JO TEKAMP PHARMD
Practice Location Address:

4840 GLENWAY AVE
CINCINNATI, OH
45238-4402

Practice Phone: 513-921-0831
Practice Fax: 513-921-0103

1558964361 — ALLYSON ANGELA KNAPP PHARMD
Practice Location Address:

4840 GLENWAY AVE
CINCINNATI, OH
45238-4402

Practice Phone: 513-921-0831
Practice Fax: 513-921-0103

1386647261 — MRS. LARISSA MARIE KAHLE P.A.-C
Practice Location Address:

10500 MONTGOMERY RD
CINCINNATI, OH
45242-4402

Practice Phone: 513-745-1307
Practice Fax: 513-745-1444

1396742516 — MICHAEL EDWARD RUDEMILLER MD
Practice Location Address:

10500 MONTGOMERY RD
CINCINNATI, OH
45242-4402

Practice Phone: 513-865-2246
Practice Fax: 513-865-5596

1679571137 — ANN A. TUTTLE MD
Practice Location Address:

10500 MONTGOMERY RD
CINCINNATI, OH
45242-4402

Practice Phone: 513-865-5204
Practice Fax: 513-672-0212

Directions to “ MRS. MARY BETH REBENNACK RPH” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.