MEDICARE: GOLDBUCK USA, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1952784118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDBUCK USA, LLC

Provider Business Mailing Address
First Line	:	130 TRI COUNTY PKWY
Second Line	:	SUITE 286
City	:	CINCINNATI
State	:	OH
Zip	:	45246-3289
Country	:	US
Telephone Number	:	513-226-2334
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 TRI COUNTY PKWY
Second Line	:	SUITE 215
City	:	CINCINNATI
State	:	OH
Zip	:	45246-3289
Country	:	US
Telephone Number	:	513-226-2334
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EDWARDS EFEURHOBO
Credential	:
Telephone Number	:	513-226-2334

Provider Enumeration Date	:	07/07/2015
Last Update Date	:	09/25/2015

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Directions to “GOLDBUCK USA, LLC ” Practice Location

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